Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study

Background: Among strategies for malaria prevention, stand-by emergency treatment (SBET) is a possible approach, but scarce evidences exists investigating travellers' adherence and behaviours toward its use; therefore, the presented study aimed to determine travellers' compliance toward th...

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Autores: Ferrara, Pietro, Masuet Aumatell, Cristina, Agüero Santangelo, Fernando, Ramon Torrell, Josep M. (Josep Maria)
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/124006
Acesso em linha:https://hdl.handle.net/2445/124006
Access Level:acceso abierto
Palavra-chave:Malària
Medicina tropical
Viatgers
Malaria
Tropical medicine
Travelers
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spelling Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort studyFerrara, PietroMasuet Aumatell, CristinaAgüero Santangelo, FernandoRamon Torrell, Josep M. (Josep Maria)MalàriaMedicina tropicalViatgersMalariaTropical medicineTravelersBackground: Among strategies for malaria prevention, stand-by emergency treatment (SBET) is a possible approach, but scarce evidences exists investigating travellers' adherence and behaviours toward its use; therefore, the presented study aimed to determine travellers' compliance toward the SBET when prescribed in travel clinics. Methods: A prospective cohort study was performed at the Travel Health Clinic of the Hospital Universitari de Bellvitge, Barcelona, Spain, during 2017. The research was planned on survey-based design, using pre- and post-travel questionnaires. Results: In the study period, of 5436 subjects who attended the HUB Travel Medicine Clinic, 145 travellers to malariaendemic areas were prescribed SBET, and all patients agreed to participate in the study by completing the pre-travel questionnaire. Approximately half the participants were women (n=75, 51.7%), and the median age of all travellers was 29 years (range 13-57), mainly travelling to South-East Asia (n=69, 47.6%), with Indonesia and the Philippines as the most popular destinations. The length of travels had a median duration of 29 days (range 10-213). Of the recruited participants, 98 replied to the online post-travel survey, reaching a response rate of 67.6%. A total of 62.2% of travellers to which SBET was prescribed did not buy and carry drugs while travelling abroad. No participants' baseline or travel characteristic was shown to be signifcantly associated (p>0.05) with this behaviour. Four women (4.1%) experienced fever and self-administered SBET, without seeking medical attention. No malaria cases were observed. Conclusions: This cohort study addressed travellers' adherence and behaviour toward SBET, highlighting an incorrect use of the emergency treatment in case of presumptive malaria symptoms. This should be taken into account during pre-travel consultation, since the success of this strategy for malaria prevention depends on travellers' strong adher‑ ence to it.BioMed Central2018201820182018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion6 p.application/pdfhttps://hdl.handle.net/2445/124006Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/s12936-018-2304-7Malaria Journal, 2018, vol. 17, num. 134https://doi.org/10.1186/s12936-018-2304-7cc-by (c) Ferrara, Pietro et al., 2018http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1240062026-05-29T05:05:01Z
dc.title.none.fl_str_mv Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
title Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
spellingShingle Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
Ferrara, Pietro
Malària
Medicina tropical
Viatgers
Malaria
Tropical medicine
Travelers
title_short Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
title_full Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
title_fullStr Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
title_full_unstemmed Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
title_sort Stand-by emergency treatment (SBET) of malaria in Spanish travellers: a cohort study
dc.creator.none.fl_str_mv Ferrara, Pietro
Masuet Aumatell, Cristina
Agüero Santangelo, Fernando
Ramon Torrell, Josep M. (Josep Maria)
author Ferrara, Pietro
author_facet Ferrara, Pietro
Masuet Aumatell, Cristina
Agüero Santangelo, Fernando
Ramon Torrell, Josep M. (Josep Maria)
author_role author
author2 Masuet Aumatell, Cristina
Agüero Santangelo, Fernando
Ramon Torrell, Josep M. (Josep Maria)
author2_role author
author
author
dc.subject.none.fl_str_mv Malària
Medicina tropical
Viatgers
Malaria
Tropical medicine
Travelers
topic Malària
Medicina tropical
Viatgers
Malaria
Tropical medicine
Travelers
description Background: Among strategies for malaria prevention, stand-by emergency treatment (SBET) is a possible approach, but scarce evidences exists investigating travellers' adherence and behaviours toward its use; therefore, the presented study aimed to determine travellers' compliance toward the SBET when prescribed in travel clinics. Methods: A prospective cohort study was performed at the Travel Health Clinic of the Hospital Universitari de Bellvitge, Barcelona, Spain, during 2017. The research was planned on survey-based design, using pre- and post-travel questionnaires. Results: In the study period, of 5436 subjects who attended the HUB Travel Medicine Clinic, 145 travellers to malariaendemic areas were prescribed SBET, and all patients agreed to participate in the study by completing the pre-travel questionnaire. Approximately half the participants were women (n=75, 51.7%), and the median age of all travellers was 29 years (range 13-57), mainly travelling to South-East Asia (n=69, 47.6%), with Indonesia and the Philippines as the most popular destinations. The length of travels had a median duration of 29 days (range 10-213). Of the recruited participants, 98 replied to the online post-travel survey, reaching a response rate of 67.6%. A total of 62.2% of travellers to which SBET was prescribed did not buy and carry drugs while travelling abroad. No participants' baseline or travel characteristic was shown to be signifcantly associated (p>0.05) with this behaviour. Four women (4.1%) experienced fever and self-administered SBET, without seeking medical attention. No malaria cases were observed. Conclusions: This cohort study addressed travellers' adherence and behaviour toward SBET, highlighting an incorrect use of the emergency treatment in case of presumptive malaria symptoms. This should be taken into account during pre-travel consultation, since the success of this strategy for malaria prevention depends on travellers' strong adher‑ ence to it.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/124006
url https://hdl.handle.net/2445/124006
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12936-018-2304-7
Malaria Journal, 2018, vol. 17, num. 134
https://doi.org/10.1186/s12936-018-2304-7
dc.rights.none.fl_str_mv cc-by (c) Ferrara, Pietro et al., 2018
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Ferrara, Pietro et al., 2018
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 6 p.
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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