Abstract:
:Adverse reactions following vaccination are rare but may include potentially fatal anaphylaxis. This audit is a retrospective review of 38 patients with a history, or potential risk, of 'vaccine allergy' referred to an Infectious Diseases Unit for vaccination over a 10 year period. A total of 59 patient encounters were recorded, of which 89.8% were uneventful. Of the 6 adverse events, 3 patients had a local reaction, 1 patient developed urticaria and 1 patient had a vasovagal episode. Only 1 patient developed anaphylaxis secondary to vaccination, and she had no prior history of vaccine allergy. Of these patients 17 had a history suggesting the need for immunological investigation but only 7 had laboratory evidence of allergy. The differential diagnosis of anaphylaxis includes vasovagal reactions and non-specific mediator release and immunological work-up of such events can help avoid such patients being incorrectly labelled as allergic. The vast majority of immunisations are uncomplicated and patients with a history of allergic reactions to vaccination may be vaccinated safely in a controlled setting. Unduly conservative guidelines risk withholding vaccines providing protection against dangerous pathogens but which can be safely administered.
journal_name
Travel Med Infect Disjournal_title
Travel medicine and infectious diseaseauthors
McCallum AD,Duncan CJ,MacDonald R,Jones MEdoi
10.1016/j.tmaid.2011.08.003subject
Has Abstractpub_date
2011-09-01 00:00:00pages
231-7issue
5eissn
1477-8939issn
1873-0442pii
S1477-8939(11)00087-1journal_volume
9pub_type
杂志文章abstract:BACKGROUND:The objective of this study was to describe the clinical pathology and seasonal variation of cutaneous larva migrans (CLM) in an impoverished community. METHOD:A representative sample of the population of a poor urban neighbourhood in Fortaleza, northeast Brazil, was examined for CLM four times during a per...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2003.10.003
更新日期:2003-11-01 00:00:00
abstract::The Global Polio Eradication Initiative (GPEI) in Pakistan has faced failure despite being implemented successfully. Polio cases were successfully reduced by 99% until 2005. However, thereafter, new polio cases were registered, which continue to rise annually. This repeat polio outbreak has placed the country on watch...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2015.06.004
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Recently, the number of HIV-infected travellers to (sub)tropical areas has increased substantially. In the Netherlands, HIV-positive travellers with CD4-cells of <500/mm3 are advised to carry stand-by antibiotic treatment against travellers' diarrhoea. Our aim was to determine whether HIV infection is associ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2019.01.003
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:International travel is a risk factor for colonization with Extended-Spectrum Beta-Lactamase-producing- Enterobacteriaceae (ESBL-E). We describe the prevalence of and risk-factors for ESBL-E colonization in civilian and military travelers. METHODS:Patients hospitalized in the infectious diseases department ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2018.03.009
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Increasing numbers of sporadic cases of melioidosis in returning travelers have been reported from non-endemic regions. METHODS:We report a new case and undertook a literature review. RESULTS:Eighty-two travelers with melioidosis infection were included. The mean age was 50.95 years, with only one case <15...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2015.08.007
更新日期:2015-09-01 00:00:00
abstract::The prevalence of Toscana virus (TOSV) IgG antibodies was determined among 128 residents of two Greek islands in the Ionian Sea, Corfu and Cephalonia. In total, 47.7% of tested persons had TOSV IgG antibodies; 51.7% among residents of Corfu and 39% among residents of Cephalonia. The prevalence was higher among persons...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2010.09.002
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:To assess artemether-lumefantrine effectiveness in the treatment of falciparum malaria in an unsupervised outpatient setting in Africa. DESIGN:Open label prospective study. SETTING:Occupational health clinic, Mozambique. SUBJECTS:Semi-immune Mozambican adults. OUTCOME MEASURES:28-day treatment failures. ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2007.08.007
更新日期:2008-01-01 00:00:00
abstract::There are approximately twenty species of hard (ixodid) ticks worldwide that frequently affect human populations, many of which are associated with serious, sometimes fatal disease(s). When a tick travel souvenir is presented in the clinic, the risk must be immediately assessed by identifying the tick in question, asc...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2011.01.002
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Staphylococcus aureus is the most common cause of Skin and Soft Tissue Infections (SSTIs) in the community in the United States of America. Community Health Centers (CHC) serve as primary care providers for thousands of immigrants in New York. METHODS:As part of a research collaborative, 6 New York City-are...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2016.10.003
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Children travel with their families, including children with chronic illness. We know that adults with chronic illness who travel are more likely than their healthy peers to become sick while traveling. A review of the literature was undertaken to identify what is known about traveling with children with spe...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2019.06.009
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Overuse and misuse of antibiotics have been reported in Hajj. However, little is known about Knowledge, Attitude and Practice (KAP) of pilgrims themselves in relation to these agents. METHODS:Adult pilgrims from seven countries attending the 2015 Hajj were interviewed using a structured KAP questionnaire. ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2018.08.004
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The number of adolescents who travel has increased. We estimated the preparedness of adolescents (12-18 years) departing from Athens to Africa and Asia. METHODS:An airport-based survey was conducted from 2011 to 2015. RESULTS:Sixty-eight adolescents participated; 27/68 (40%) had the Greek nationality. Thei...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2017.07.011
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:From the first Zika virus (ZIKV) description, it has progressively widespread worldwide. We analyzed demographic, clinical, microbiologic and travel-related characteristic from returned patients from a ZIKV endemic country in a referral Tropical Medicine Unit. METHOD:A prospective cohort study performed in ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2019.101543
更新日期:2020-01-01 00:00:00
abstract::Schistosomiasis is a common intravascular trematode infection. The snail/human lifecycle is illustrated. Travellers who acquire the infection are often asymptomatic, but nearly always give a history of fresh water exposure in endemic countries when asked. The various manifestations of symptomatic schistosomiasis are d...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2004.02.011
更新日期:2004-02-01 00:00:00
abstract::Cutaneous myiasis caused by Dermatobia hominis, the human botfly, involves the infestation of human tissue with fly larvae, and is common in Central and South America. We report a case of a 57-year-old man with cutaneous myiasis imported into the US from Belize. The epidemiology, biological life cycle, clinical presen...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2006.09.005
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Travelers' diarrhea (TD) is the most common illness experienced by travelers to developing regions of the world and may be caused by bacterial, parasitic or viral pathogens. The available diagnostic tests include stool microscopy for parasitic infections, culture-dependent methods for bacterial infections an...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2020.101706
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:After serious epidemics of chikungunya (CHIKV) and Zika (ZIKV) in the Americas, dengue (DENV) have reemerged in most countries. We analyzed the incidence, incidence rates, and evolution of DENV cases in Honduras from 2015 to 2018 and the ongoing 2019 epidemic. METHODS:Using epidemiological weeks (EW) survei...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2019.101517
更新日期:2019-11-09 00:00:00
abstract:BACKGROUND:International travel is considered a risk for colonisation with extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE). To our knowledge, no studies to date have focused on ESBL-PE colonisation among long-term business travellers. Therefore this study aimed to clarify the characteristics associ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2016.09.012
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Due to the condition known as middle ear squeeze, scuba diving has become one of the main causes of barotrauma, and the acute form of this condition has been relatively well established. However, there are few reports available on clinical or laboratory findings in divers who practise repeated diving. The ob...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2004.06.002
更新日期:2005-02-01 00:00:00
abstract::Jet lag is a disorder in which body rhythms are out of phase with the environment because of rapid travel across time zones. Although it often produces minor symptoms it can cause serious problems in those who need to make rapid critical decisions including airline pilots and business travelers. In this article the au...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2008.09.004
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Infectious diseases are a frequent cause of morbidity in French troops deployed abroad. They are usually minor in severity and managed by field practitioners. We aimed to describe the etiological spectrum of travel-related infections in French soldiers evacuated to a level 4 military treatment facility. MET...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2014.03.005
更新日期:2014-07-01 00:00:00
abstract::Skin diseases are the third most common cause of morbidity in returning travellers and may affect 8% of travellers during travel. Classic tropical diseases account for one quarter and the remainder are cosmopolitan diseases. The majority are of infectious origin, and of these bacterial infections are the most common a...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2009.03.003
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Cruise ships carry a large number of people in confined spaces providing an environment for transmission of infections. The aim of this study is to estimate the incidence of and describe the spectrum of respiratory infections and gastrointestinal illness among passengers and crew of cruise Ship A. MATERIAL ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2016.05.019
更新日期:2016-07-01 00:00:00
abstract::Travellers from Europe to tropical areas risk acquiring malaria against which they have no immunity. The objective of this study was to assess malaria protection measures in European travellers as a function of the risk of infection with malaria. This questionnaire-based, retrospective study evaluated 13,017 French ad...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2009.10.005
更新日期:2010-01-01 00:00:00
abstract::Sexually transmitted infections are often acquired during travel. Infections are most often seen in young adults, travelling without a regular partner and among those who have higher numbers of partners while at home. Alcohol and recreational drug use may increase risk. The risks are highest from having unprotected se...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2005.06.010
更新日期:2006-05-01 00:00:00
abstract::At present there are no 'high-tech' solutions to the problems that may beset intercontinental travellers. Indications for the use of drugs are limited, and their use must accord with Good Clinical Practice. Essentially, travellers must look after their sleep, as far as possible, during and after the flight. The most u...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2006.01.009
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:This study assessed the efficacy of education and self-treatment with loperamide on diarrhea morbidity and healthcare utilization in a deployed military setting. METHOD:In this prospective, controlled study, volunteers from military personnel deployed to Incirlik Air Base received either travelers' diarrhea ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2013.12.007
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION:Among deployed U.S. military personnel, a sub-population of international travelers, acute infectious diarrhea continues to be a leading cause of morbidity and a potential threat to military effectiveness. METHODS:To assess outcomes and satisfaction of diarrhea management in the field, a systematic survey...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2009.09.001
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The potential for transmission of Mycobacterium tuberculosis during air travel has garnered considerable attention in the media and among public health authorities due to high-profile cases of international travelers with infectious tuberculosis (TB). METHODS:During 2007 and 2008, state and local health off...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2009.08.001
更新日期:2010-03-01 00:00:00
abstract::Tungiasis is an endemic disease in many resource-poor communities some of which are in South America, which are visited frequently by Spanish travelers. Its diagnosis can be improved with the knowledge of the typical presentation and the correct management of its injuries. We report the first four cases identified of ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2011.03.005
更新日期:2011-05-01 00:00:00