International travel: Recommendations for the HIV-infected patient

被引：2
|
作者：
Spacek L.A. [1 ]
Quinn T.C. [1 ]
机构：
[1] Johns Hopkins School of Medicine, Division of Infectious Diseases, Baltimore, MD 21287
来源：
Current Infectious Disease Reports | 2004年 / 6卷 / 5期
关键词：
Human Immunodeficiency Virus; Human Immunodeficiency Virus Infection; Rabies; Visceral Leishmaniasis; Japanese Encephalitis;
D O I：
10.1007/s11908-004-0040-3
中图分类号：
学科分类号：
摘要：
In order to prevent travel-related diseases in patients infected with HIV, pretravel planning that includes vaccination, chemoprophylaxis, and behavioral modification is recommended. Many HIV-infected individuals successfully treated with highly active antiretroviral therapy may travel safely. However, patients with reduced CD4 lymphocyte counts are at increased risk for bacterial, mycobacterial, viral, fungal, and parasitic infections. Recommendations for vaccination and chemoprophylaxis are based on immune status and risk of infection. The efficacy of vaccination is dependant on CD4 lymphocyte count; inactivated and polysaccharide vaccines are considered safe in this population. Behavioral modifications to prevent food- and water-borne disease are an important component of disease prevention. A travel-health practitioner should review travel duration, destination, and activities, and assess the risk-benefit ratio of vaccination and chemoprophylaxis, in order to reduce the likelihood of travel-associated illnes. Copyright © 2004 by Current Science Inc.
引用
收藏
页码：399 / 403
页数：4
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