Travel-Related Risk Behaviors and Antibiotic Use Among Older Travelers.
antibacterial agents
diarrhea
travel
travelers’ diarrhea
Journal
Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
01
04
2021
accepted:
27
07
2021
entrez:
25
8
2021
pubmed:
26
8
2021
medline:
26
8
2021
Statut:
epublish
Résumé
Antibiotic stewardship in the pretravel care of older adults is important to effectively treat infections while minimizing harm from side effects and unnecessary antibiotic use. The objective of this study was to compare the characteristics, risk behaviors, infectious diseases, and antibiotic use between older (≥60 years) and younger (18-59 years) travelers. TravMil is a prospective, observational cohort of United States (US) Department of Defense beneficiaries traveling outside the continental US for ≤6.5 months. For this analysis, we included adults enrolled pretravel between January 2010 and August 2018 and excluded active duty personnel on deployment. Pre and post-travel surveys captured trip characteristics, exposures, illnesses, and antibiotic use. A total of 1742 travelers were analyzed: 747 (42.9%) were aged ≥60 years and 995 (57.1%) were aged 18-59 years. Older travelers were less likely to engage in high-risk dietary behaviors and experience travelers' diarrhea than younger travelers (18.2% vs 22.9%; Older travelers were less likely to engage in high-risk behaviors and experience travelers' diarrhea, and both age groups experienced mild, self-limited infections. Inappropriate use of antibiotics was common, suggesting that antimicrobial stewardship should be emphasized at pretravel counseling with international travelers.
Sections du résumé
BACKGROUND
BACKGROUND
Antibiotic stewardship in the pretravel care of older adults is important to effectively treat infections while minimizing harm from side effects and unnecessary antibiotic use. The objective of this study was to compare the characteristics, risk behaviors, infectious diseases, and antibiotic use between older (≥60 years) and younger (18-59 years) travelers.
METHODS
METHODS
TravMil is a prospective, observational cohort of United States (US) Department of Defense beneficiaries traveling outside the continental US for ≤6.5 months. For this analysis, we included adults enrolled pretravel between January 2010 and August 2018 and excluded active duty personnel on deployment. Pre and post-travel surveys captured trip characteristics, exposures, illnesses, and antibiotic use.
RESULTS
RESULTS
A total of 1742 travelers were analyzed: 747 (42.9%) were aged ≥60 years and 995 (57.1%) were aged 18-59 years. Older travelers were less likely to engage in high-risk dietary behaviors and experience travelers' diarrhea than younger travelers (18.2% vs 22.9%;
CONCLUSIONS
CONCLUSIONS
Older travelers were less likely to engage in high-risk behaviors and experience travelers' diarrhea, and both age groups experienced mild, self-limited infections. Inappropriate use of antibiotics was common, suggesting that antimicrobial stewardship should be emphasized at pretravel counseling with international travelers.
Identifiants
pubmed: 34430673
doi: 10.1093/ofid/ofab395
pii: ofab395
pmc: PMC8378587
doi:
Types de publication
Journal Article
Langues
eng
Pagination
ofab395Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of Infectious Diseases Society of America.
Références
J Travel Med. 2005 Sep-Oct;12(5):248-53
pubmed: 16256047
J Travel Med. 2018 Jan 1;25(1):
pubmed: 30239856
BMJ. 2012 Mar 27;344:e2116
pubmed: 22454091
J Travel Med. 2010 Jul-Aug;17(4):250-5
pubmed: 20636598
J Travel Med. 2000 Sep-Oct;7(5):259-66
pubmed: 11231210
J Travel Med. 2012 May-Jun;19(3):169-77
pubmed: 22530824
Travel Med Infect Dis. 2016 Nov - Dec;14(6):604-613
pubmed: 27687076
Gastroenterology. 2006 Apr;130(5):1377-90
pubmed: 16678553
Clin Infect Dis. 2012 Feb 15;54(4):455-62
pubmed: 22144534
Travel Med Infect Dis. 2017 Mar - Apr;16:23-30
pubmed: 28153711
J Am Geriatr Soc. 2004 Aug;52(8):1349-54
pubmed: 15271125
Clin Infect Dis. 2005 Apr 1;40(7):997-1004
pubmed: 15824992
Am J Trop Med Hyg. 2016 Aug 3;95(2):322-7
pubmed: 27273649
Trop Dis Travel Med Vaccines. 2017 Jun 13;3:10
pubmed: 28883980
Open Forum Infect Dis. 2020 Aug 26;7(10):ofaa376
pubmed: 33072808
Hum Vaccin Immunother. 2013 Jun;9(6):1364-7
pubmed: 23584248
Clin Infect Dis. 2015 Mar 15;60(6):837-46
pubmed: 25613287
J Travel Med. 2017 Apr 1;24(suppl_1):S57-S74
pubmed: 28521004
Travel Med Infect Dis. 2019 Jan - Feb;27:64-71
pubmed: 29894796