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  Subjects -> RECREATION, TRAVEL AND TOURISM (Total: 124 journals)
    - HOTELS AND RESTAURANTS (9 journals)
    - LEISURE AND RECREATION (20 journals)
    - RECREATION, TRAVEL AND TOURISM (95 journals)

RECREATION, TRAVEL AND TOURISM (95 journals)

40 [degrees] South     Full-text available via subscription   (1 follower)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (3 followers)
Almatourism - Journal of Tourism, Culture and Territorial Development     Open Access   (8 followers)
American Journal of Tourism Management     Open Access   (1 follower)
American Journal of Tourism Research     Open Access   (9 followers)
Anatolia : An International Journal of Tourism and Hospitality Research     Hybrid Journal   (2 followers)
Annals of Tourism Research     Hybrid Journal   (21 followers)
Asia Pacific Journal of Tourism Research     Hybrid Journal   (15 followers)
Australian Antarctic Magazine     Free   (2 followers)
Caderno Virtual de Turismo     Open Access  
Cornell Hospitality Quarterly     Hybrid Journal   (5 followers)
Craft Research     Hybrid Journal  
Cuadernos de Turismo     Open Access  
Current Issues in Tourism     Hybrid Journal   (13 followers)
EchoGéo     Open Access   (1 follower)
Educación física y deporte     Open Access  
El Periplo Sustentable     Open Access  
Enlightening Tourism. A Pathmaking Journal     Open Access   (1 follower)
Estudios y Perspectivas en Turismo     Open Access  
Event Management     Full-text available via subscription   (5 followers)
Gestion Turistica     Open Access  
Globe, The     Full-text available via subscription   (2 followers)
Hospitality & Society     Hybrid Journal   (1 follower)
Hospitality Review     Full-text available via subscription  
Information Technology & Tourism     Full-text available via subscription   (13 followers)
Interaction     Full-text available via subscription   (2 followers)
International Journal of Contemporary Hospitality Management     Hybrid Journal   (8 followers)
International Journal of Culture Tourism and Hospitality Research     Hybrid Journal   (13 followers)
International Journal of Digital Culture and Electronic Tourism     Hybrid Journal   (6 followers)
International Journal of Event and Festival Management     Hybrid Journal   (9 followers)
International Journal of Hospitality & Tourism Administration     Hybrid Journal   (6 followers)
International Journal of Hospitality Management     Hybrid Journal   (10 followers)
International Journal of Tourism Anthropology     Hybrid Journal   (5 followers)
International Journal of Tourism Policy     Hybrid Journal   (5 followers)
International Journal of Tourism Research     Hybrid Journal   (12 followers)
Journal of Applied Economics and Business     Open Access   (1 follower)
Journal of Business & Hotel Management     Partially Free  
Journal of China Tourism Research     Hybrid Journal   (5 followers)
Journal of Ecotourism     Hybrid Journal   (3 followers)
Journal of Environmental Management and Tourism     Open Access   (2 followers)
Journal of Heritage Tourism     Hybrid Journal   (6 followers)
Journal of Hospitality & Tourism Education     Hybrid Journal  
Journal of Hospitality & Tourism Research     Hybrid Journal   (10 followers)
Journal of Hospitality and Tourism Management     Full-text available via subscription   (9 followers)
Journal of Hospitality and Tourism Technology     Hybrid Journal   (2 followers)
Journal of Hospitality Financial Management     Open Access   (2 followers)
Journal of Hospitality Marketing & Management     Hybrid Journal   (7 followers)
Journal of Park and Recreation Administration     Full-text available via subscription   (1 follower)
Journal of Place Management and Development     Hybrid Journal   (2 followers)
Journal of Policy Research in Tourism, Leisure and Events     Hybrid Journal   (8 followers)
Journal of Quality Assurance in Hospitality & Tourism     Hybrid Journal   (5 followers)
Journal of Sport & Tourism     Hybrid Journal   (8 followers)
Journal of Sustainable Tourism     Hybrid Journal   (9 followers)
Journal of Tourism and Cultural Change     Hybrid Journal   (7 followers)
Journal of Tourism Insights     Open Access  
Journal of Tourism Research & Hospitality     Partially Free  
Journal of Travel & Tourism Marketing     Hybrid Journal   (10 followers)
Journal of Travel Medicine     Hybrid Journal   (1 follower)
Journal of Travel Research     Hybrid Journal   (13 followers)
Journal of Vacation Marketing     Hybrid Journal   (3 followers)
Mobilities     Hybrid Journal   (2 followers)
Multiciencias     Open Access  
PASOS Revista de Turismo y Patrimonio Cultural     Open Access  
Podium Sport, Leisure and Tourism Review     Open Access   (1 follower)
Polish Journal of Sport and Tourism     Open Access   (2 followers)
Provincia     Open Access  
Recreational Sport Journal     Hybrid Journal   (5 followers)
Research in Hospitality Management     Full-text available via subscription  
Revista de Gestão Ambiental e Sustentabilidade - GeAS     Open Access  
Revista de turism - studii si cercetari in turism     Open Access  
Revista Interamericana de Ambiente y Turismo     Open Access  
Revista Portuguesa e Brasileira de Gestão     Open Access  
Revista Rosa dos Ventos     Open Access   (2 followers)
Scandinavian Journal of Hospitality and Tourism     Hybrid Journal   (4 followers)
Space and Culture     Hybrid Journal   (4 followers)
Studies in Travel Writing     Hybrid Journal   (5 followers)
Téoros     Open Access  
The Rangeland Journal     Hybrid Journal   (2 followers)
Tourism     Open Access   (2 followers)
Tourism & Management Studies     Open Access  
Tourism Analysis     Full-text available via subscription   (8 followers)
Tourism and Hospitality Research     Hybrid Journal   (6 followers)
Tourism Culture & Communication     Full-text available via subscription   (3 followers)
Tourism Economics     Full-text available via subscription   (4 followers)
Tourism Geographies: An International Journal of Tourism Space, Place and Environment     Hybrid Journal   (12 followers)
Tourism in Marine Environments     Full-text available via subscription   (2 followers)
Tourism Management     Hybrid Journal   (8 followers)
Tourism Management Perspectives     Hybrid Journal   (1 follower)
Tourism Planning & Development     Hybrid Journal   (8 followers)
Tourism Review     Hybrid Journal   (1 follower)
Tourism Review International     Full-text available via subscription   (3 followers)
Tourist Studies     Hybrid Journal   (4 followers)
TRANSIT     Open Access  
Translation Studies     Hybrid Journal   (13 followers)
Worldwide Hospitality and Tourism Themes     Hybrid Journal   (2 followers)
Journal of Travel Medicine    [3 followers]  Follow    
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 1195-1982 - ISSN (Online) 1708-8305
     Published by John Wiley and Sons Homepage  [1594 journals]   [SJR: 0.85]   [H-I: 36]
  • Norovirus Diagnostics and Serology in Travelers' Diarrhea—Where Do
           We Go From Here?
    • Authors: Mark S. Riddle
      Pages: 1 - 3
      PubDate: 2014-01-03T04:48:10.242209-05:
      DOI: 10.1111/jtm.12091
       
  • Point of Care Tests at Sea
    • Authors: John Timothy Carter
      Pages: 4 - 5
      PubDate: 2014-01-03T04:48:12.834556-05:
      DOI: 10.1111/jtm.12086
       
  • Seroepidemiology of Norovirus‐Associated Travelers' Diarrhea
    • Authors: Nadim J. Ajami; Owen V. Kavanagh, Sasirekha Ramani, Sue E. Crawford, Robert L. Atmar, Zhi‐Dong Jiang, Pablo C. Okhuysen, Mary K. Estes, Herbert L. DuPont
      Pages: 6 - 11
      Abstract: Background Noroviruses (NoVs) are the most common cause of epidemic gastroenteritis, responsible for at least 50% of all gastroenteritis outbreaks worldwide and were recently identified as a leading cause of travelers' diarrhea (TD) in US and European travelers to Mexico, Guatemala, and India. Methods Serum and diarrheic stool samples were collected from 75 US student travelers to Cuernavaca, Mexico, who developed TD. NoV RNA was detected in acute diarrheic stool samples using reverse transcription‐polymerase chain reaction (RT‐PCR). Serology assays were performed using GI.1 Norwalk virus (NV) and GII.4 Houston virus (HOV) virus‐like particles (VLPs) to measure serum levels of immunoglobulin A (IgA) and IgG by dissociation‐enhanced lanthanide fluorescent immunoassay (DELFIA); serum IgM was measured by capture enzyme‐linked immunosorbent assay (ELISA), and the 50% antibody‐blocking titer (BT50) was determined by a carbohydrate‐blocking assay. Results NoV infection was identified in 12 (16%; 9 GI‐NoV and 3 GII‐NoV) of 75 travelers by either RT‐PCR or fourfold or more rise in antibody titer. Significantly more individuals had detectable preexisting IgA antibodies against HOV (62/75, 83%) than against NV (49/75, 65%) (p = 0.025) VLPs. A significant difference was observed between NV‐ and HOV‐specific preexisting IgA antibody levels (p = 0.0037), IgG (p = 0.003), and BT50 (p =  200, a level that has been described previously as a possible correlate of protection. Conclusions We found that GI‐NoVs are commonly associated with TD cases identified in US adults traveling to Mexico, and seroprevalence rates and geometric mean antibody levels to a GI‐NoV were lower than to a GII‐NoV strain.
      PubDate: 2014-01-03T04:48:11.467807-05:
      DOI: 10.1111/jtm.12092
       
  • Imported African Schistosomiasis: Is It an Emerging Public Health Concern
           in China?
    • Authors: Ping Lu; Wei Wang, Jianrong Dai, Yousheng Liang
      Pages: 72 - 73
      PubDate: 2014-01-03T04:48:12.192915-05:
      DOI: 10.1111/jtm.12073_1
       
  • Response 1 to Letter
    • Authors: Poh‐Lian Lim
      Pages: 73 - 73
      PubDate: 2014-01-03T04:48:11.794862-05:
      DOI: 10.1111/jtm.12073_2
       
  • Response 2 to Letter
    • Authors: Zhong Quan Wang; Jing Cui
      Pages: 74 - 74
      PubDate: 2014-01-03T04:48:10.702125-05:
      DOI: 10.1111/jtm.12073_3
       
  • Response to Letter
    • Authors: Robert Krause; Helmut J.F. Salzer
      Pages: 75 - 75
      PubDate: 2014-01-03T04:48:13.731782-05:
      DOI: 10.1111/jtm.12078_2
       
  • Neurocysticercosis in a European Traveler Returning From India, Primarily
           Suspected as Neoplasia
    • Authors: Oscar H. Del Brutto
      Pages: 75 - 75
      PubDate: 2014-01-03T04:48:12.750374-05:
      DOI: 10.1111/jtm.12078_1
       
  • LeishMan Recommendations for Treatment of Cutaneous and Mucosal
           Leishmaniasis in Travelers, 2014
    • Authors: Johannes Blum; Pierre Buffet, Leo Visser, Gundel Harms, Mark S. Bailey, Eric Caumes, Jan Clerinx, Pieter P.A.M. van Thiel, Gloria Morizot, Christoph Hatz, Thomas P.C. Dorlo, Diana N.J. Lockwood
      Pages: n/a - n/a
      Abstract: Background Treatment of cutaneous leishmaniasis (CL) and mucosal leishmaniasis (ML) in travelers is still controversial. Over the last decade, national and international consortia have published recommendations for treating CL in travelers. These guidelines harmonize many issues, but there are some discrepancies. Methods Leishmania parasites causing CL can now be genotyped by polymerase chain reaction techniques for detecting Leishmania DNA. Therefore, treatment recommendations can now be species based rather than based on geographical exposure. To review the evidence on which the recommendations were based, “LeishMan” (Leishmaniasis Management), a group of experts from 13 institutions in eight European countries, performed a PubMed (MEDLINE) literature search and considered unpublished evidence and the experts' own personal experiences. The Oxford evidence grading system was used to evaluate the information. Results and Conclusion In this article, the authors provide practical treatment recommendations for imported CL and ML in Europe, drawn up from the review by the European experts.
      PubDate: 2013-12-19T03:05:18.980703-05:
      DOI: 10.1111/jtm.12089
       
  • Effectiveness of Short Prophylactic Course of Atovaquone‐Proguanil
           in Travelers to Sub‐Saharan Africa
    • Authors: Eyal Leshem; Eyal Meltzer, Shmuel Stienlauf, Eran Kopel, Eli Schwartz
      Pages: n/a - n/a
      Abstract: Background Current guidelines recommend continuation of atovaquone‐proguanil (AP) malaria prophylaxis for 7 days after leaving Plasmodium falciparum endemic areas. Evidence from clinical studies suggests that discontinuation of AP 1 day after exposure ends may be safe and effective. Our objective was to assess the effectiveness of short‐course AP prophylaxis among travelers to sub‐Saharan Africa. Methods To detect prophylactic failures associated with short‐course AP prophylaxis discontinued 1 day after return, we conducted active surveillance during the years 2010 and 2011, by a retrospective telephone survey 1 to 6 months after travelers' return. Passive surveillance data were obtained from the Israel Ministry of Health (MOH) malaria registry. Results Among 485 travelers to sub‐Saharan Africa (cumulative exposure of 4,979 days), 421 (87%) discontinued AP 1 day after leaving the endemic region (cumulative exposure of 4,337 days). None of the 485 travelers reported malaria infection. The MOH malaria registry survey included 363 P. falciparum‐infected patients during the years 2003 to 2011. The majority (n = 305; 84%) did not use any malaria prophylaxis. None of the patients had used AP (neither regular nor short course AP) for malaria prophylaxis. Conclusions We did not detect prophylaxis failures among a group of travelers who discontinued AP prophylaxis 1 day after leaving malaria‐endemic areas. Passive surveillance in Israel did not detect any P. falciparum cases among AP users. We recommend further validation of our findings by clinical trials, prospective studies, and active surveillance in larger cohorts to assess the effectiveness of short‐course AP prophylaxis in travelers.
      PubDate: 2013-12-03T05:31:49.895857-05:
      DOI: 10.1111/jtm.12088
       
  • Lessons Learned During an In‐Flight Medical Emergency: Case Report
           and Discussion
    • Authors: Melissa D. Stone; David A. Lubarsky, Gauri G. Agarwal
      Pages: n/a - n/a
      Abstract: The following case report details an in‐flight medical emergency (IFME) that occurred during a trans‐continental flight while the authors were en route to a medical conference. The report highlights the necessity for an improved approach to the prevention and management of IFMEs.
      PubDate: 2013-12-03T05:28:46.60364-05:0
      DOI: 10.1111/jtm.12087
       
  • Point‐of‐Care Syndrome‐Based, Rapid Diagnosis of
           Infections on Commercial Ships
    • Authors: Mehdi Bouricha; Marc Abdul Samad, Pierre‐Yves Levy, Didier Raoult, Michel Drancourt
      Pages: n/a - n/a
      Abstract: Background Suspicion of contagious disease on commercial ships tends to be poorly managed, as there is little capacity to confirm a case on board except for malaria. Here we implemented a point‐of‐care (POC) laboratory on one container ship and one cruise ship for the rapid syndrome‐based diagnosis of infectious diseases on board. Methods In 2012 we implemented a POC laboratory on board a freight ship and on board a cruise ship. The POC laboratory ran a total of six different color‐coded, syndrome‐based kits incorporating 10 different commercially available immunochromatographic tests. The POC tests were taught within 1‐hour as part of training to staff without any previous knowledge in microbiology. Results Compared with terrestrial POCs, specific constraints included the necessity to secure POC devices into the motile ship, to use robust devices, to overcome difficulties in communicating with the core laboratory, and to overcome limited intimacy of patients. However, a total of 36 POC tests were easily performed and yielded contributive negative results. Conclusions This first experiment indicates that it is possible to run POC laboratories by nonexpert staff after providing rapid teaching course on board commercial ships. Generalization of on‐board POC laboratories is expected to help in improving the medical management of staff and passengers.
      PubDate: 2013-12-03T05:28:25.821746-05:
      DOI: 10.1111/jtm.12090
       
  • The Effect of Pre‐Travel Advice on Sexual Risk Behavior Abroad: A
           Systematic Review
    • Authors: Mieke Croughs; Roy Remmen, Jef Van den Ende
      Pages: n/a - n/a
      Abstract: Background Travelers often have casual sex abroad and the risk of acquiring a sexually transmitted infection (STI) associated with casual travel sex is considered to be threefold higher compared to the risk of casual sex in the home country. Consequently, international guidelines recommend including STI advice in the pre‐travel consultation. We performed a systematic review on the effect of a pre‐travel STI intervention on sexual risk behavior abroad. Methods In September 2012, a systematic analysis and meta‐analysis of peer reviewed literature were performed on the relation between pre‐travel STI advice for travelers and sexual risk behavior abroad. Primary outcome measure consisted of the number of travelers with a new sexual partner abroad; secondary outcome measure entailed the proportion of consistent condom use. Results Six studies were identified for inclusion in the review, of which three clinical trials on the effect of a motivational intervention compared to standard pre‐travel STI advice qualified for the meta‐analysis. Two of these trials were performed in US marines deployed abroad and one in visitors of a travel clinic. The extensive motivational training program of the marines led to a reduction in sexual risk behavior, while the brief motivational intervention in the travel clinic was not superior to standard advice. The meta‐analysis established no overall effect on risk behavior abroad. No clinical trials on the effect of a standard pre‐travel STI discussion were found, but a cohort study reported that no relation was found between the recall of a nonstructured pre‐travel STI discussion and sexual risk behavior, while the recall of reading the STI information appeared to be related to more consistent condom use. Conclusions Motivational pre‐travel STI intervention was not found to be superior to standard STI advice, while no clinical trials on the effect of standard pre‐travel STI advice were found.
      PubDate: 2013-12-03T05:24:51.104006-05:
      DOI: 10.1111/jtm.12084
       
  • The Global Availability of Rabies Immune Globulin and Rabies Vaccine in
           Clinics Providing Indirect Care to Travelers
    • Authors: Emily S. Jentes; Jesse D. Blanton, Katherine J. Johnson, Brett W. Petersen, Mark J. Lamias, Kis Robertson, Richard Franka, Daniel Muhm, Charles E. Rupprecht, Nina Marano, Gary W. Brunette
      Pages: n/a - n/a
      Abstract: We assessed rabies vaccine (RV) and immune globulin (RIG) availability on the local market by querying US Embassy medical staff worldwide. Of 112 responses, 23% were from West, Central, and East Africa. RV and RIG availability varied by region. Possible rabies exposures accounted for 2% of all travelers' health inquiries.
      PubDate: 2013-11-25T04:00:39.392815-05:
      DOI: 10.1111/jtm.12085
       
  • Public Health Investigation in a Military Camp After Diagnosis of Rabies
           in a Dog—Afghanistan, 2012
    • Authors: Sandrine Duron; Clémence Ertzscheid, Franck de Laval, Ghislain Manet, Cécile Ficko, Guillaume Velut, François Lefèvre, René Migliani, Aurélie Mayet, Jean‐Baptiste Meynard
      Pages: n/a - n/a
      Abstract: Rabies is one of the risks to which travelers are exposed when going abroad. During the summer of 2012, a rabid dog died in an International Military Transit Camp in Afghanistan, leading to a public health investigation briefly reported here. The lessons learned from this episode are that such investigations are complex and that information for travelers needs to be improved.
      PubDate: 2013-11-20T05:40:44.724489-05:
      DOI: 10.1111/jtm.12082
       
  • Results From Screening Immigrants of Low‐Income Countries: Data From
           a Public Primary Health Care
    • Authors: Olga Hladun; Albert Grau, Esther Esteban, Josep M. Jansà
      Pages: n/a - n/a
      Abstract: Background A total of 3,132 immigrants from low‐ and middle‐income countries were involved in a cross‐sectional observational study to screen for infectious diseases among immigrants attending public primary health care (PHC) centers. The study was conducted to clarify the degree of demographic differences and risk predictors of these diseases. Methods Demographic and clinical variables, screening for infectious diseases [hepatitis B and C, human immunodeficiency virus infection, syphilis, and tuberculosis (TB)], and analytical data (anemia, hematuria, and liver function) were recorded from immigrants attending a public PHC unit in Barcelona. Results Global hepatitis B, including chronic and previous, reached 18.1%; Morocco as the country of origin [odds ratio (OR) 2.1, 95% confidence interval (CI) 1.07–4.14] and gastrointestinal symptoms (OR 1.9, CI 1.18–3.02) were risk factors. Hepatitis C prevalence was 3.3% with elevated hepatic transaminase levels as a risk factor (OR 26.1, CI 8.68–78.37). Positive syphilis was 3.1%; latent and active TB rates were 28.1 and 5.8%, respectively. Concerning TB, we found remarkable differences both among WHO regions of origin (the Eastern Mediterranean region showed the highest rate of active TB, 8%) and the three categories of years of residence in Spain (6.5% for 5 years). Conclusions The data allowed recommendation of a minimal screening of TB in immigrants from low‐income countries regardless of the years of residence in Spain, hepatitis C in patients with altered transaminase levels, and hepatitis B in patients with gastrointestinal symptoms and/or from Morocco.
      PubDate: 2013-11-20T05:40:40.463277-05:
      DOI: 10.1111/jtm.12083
       
  • Typhoid Vaccination for International Travelers From Greece Visiting
           Developing Countries
    • Authors: Paraskevi Smeti; Androula Pavli, Panagiotis Katerelos, Helena C. Maltezou
      Pages: n/a - n/a
      Abstract: Background Typhoid fever is one of the most common diagnoses in returned international travelers. Our aim was to study the typhoid vaccine prescription practices for travelers from Greece visiting developing countries. Methods A prospective questionnaire‐based study was conducted during 2009–2012 in 57 Public Health Departments, which are the only sources of typhoid vaccine in Greece. Results A total of 3,680 travelers were studied (median age: 38.1 years). Typhoid vaccine was delivered to 1,108 (30.1%) of them. Of those who traveled to sub‐Saharan Africa, South America, the Middle East, the Indian subcontinent, Southeast Asia, South Africa, East Asia, North Africa, and Central America, 31.6, 17.1, 35, 44.2, 36.9, 31, 17.7, 31.6, and 36.8% received typhoid vaccine, respectively. Of travelers who stayed
      PubDate: 2013-11-19T19:46:04.372051-05:
      DOI: 10.1111/jtm.12076
       
  • Primaquine for Prophylaxis of Malaria: Has the CYP Sailed?
    • Authors: Gregory A. Deye; Alan J. Magill
      Pages: n/a - n/a
      PubDate: 2013-11-19T19:45:17.359142-05:
      DOI: 10.1111/jtm.12080
       
  • The Impact of Injection Anxiety on Education of Travelers About Common
           Travel Risks
    • Authors: Lorraine M. Noble; Lorna Farquharson, Niamh A. O'Dwyer, Ron H. Behrens
      Pages: n/a - n/a
      Abstract: Background Despite many travelers receiving at least one vaccination during the pre‐travel consultation, little is known about travelers' fear of injections and the impact this may have on educating travelers about health risks associated with their trip. This study aimed to investigate: (1) the prevalence of injection anxiety in travelers attending a pre‐travel consultation, (2) whether anxiety due to anticipating a vaccination adversely affects recall of information and advice, and (3) whether clinicians can recognize travelers' anxiety, and how they respond to anxious travelers. Methods Consecutive adult travelers (N = 105) attending one of two inner‐city travel clinics completed self‐report measures of state anxiety, injection anxiety, and symptoms of needle phobia immediately before and after their pre‐travel consultation. Clinicians were also asked to rate travelers' anxiety and report any anxiety management strategies. Standardized information was presented during the consultation and recall of information and advice was assessed immediately post‐consultation. Delayed recall (24 hours) was assessed for a subsample (20%) of participants. Results More than one third of travelers reported feeling nervous or afraid when having an injection (39%). Travelers' state anxiety was related to their psychological and physiological reactions to needles, and reduced significantly post‐consultation. Recall of information and advice varied, with failure of recall ranging from 2 to 70% across 15 items, and delayed recall being significantly lower. No relationship was found between recall and anxiety. Clinician‐rated anxiety moderately correlated with travelers' self‐reported anxiety. Conclusions A significant proportion of travelers experienced injection anxiety when attending the pre‐travel consultation, with some travelers reporting symptoms consistent with criteria for Blood Injection Injury phobia. There were important gaps in recall of information and advice about common travel risks. Although no relationship was found between recall and anxiety, this may have been due to the sample and setting.
      PubDate: 2013-11-19T19:43:12.14096-05:0
      DOI: 10.1111/jtm.12081
       
  • Standby Therapy to Prevent Plasmodium falciparum Infections?
    • Authors: G. Dennis Shanks
      Pages: n/a - n/a
      PubDate: 2013-11-19T19:43:09.916316-05:
      DOI: 10.1111/jtm.12079
       
  • Two Cases of Late Plasmodium ovale Presentation in Military Personnel
    • Authors: Guillaume Mellon; Cécile Ficko, Marc Thellier, Eric Kendjo, Olivier Aoun, Dina Adriamanantena, Christophe Rapp,
      Pages: n/a - n/a
      Abstract: Only a few late cases of Plasmodium ovale presentation have been reported in literature. We describe two cases of late P. ovale presentation occurring in two French military personnel, 47 and 69 months, respectively, after a stay in Côte d'Ivoire and in the absence of new intercurrent malaria exposure.
      PubDate: 2013-11-11T04:51:22.358635-05:
      DOI: 10.1111/jtm.12077
       
  • Corynebacterium diphtheriae and the Returned Tropical Traveler
    • Authors: Meryta L.A. May; Rodney J. McDougall, Jennifer M. Robson
      Pages: n/a - n/a
      Abstract: Background In Western countries, nontoxigenic Corynebacterium diphtheriae is known to cause skin and soft tissue infections (SSIs), upper respiratory tract infections, and occasionally invasive disease. Its role as a skin pathogen in returned travelers from tropical destinations where the organism is endemic is often forgotten. A retrospective analysis of a large Australian private pathology laboratory's experience with C. diphtheriae was performed to identify how frequently overseas travel was associated with C. diptheriae infection/colonization. Methods All C. diphtheriae isolates cultured from 2002 to 2012 were reviewed. Recorded clinical information regarding recent travel, country, and cause of infection was assessed. Antibiotic susceptibility was verified on all isolates. Results In all there were 72 patients who had C. diphtheriae isolated on clinical specimens, and information about prior travel was available for 63. Seventy percent of these were healthy individuals with an SSI and history of recent travel to a tropical nation. Ninety‐seven percent had associated copathogens. Two isolates were penicillin resistant. There was uniform susceptibility to cephalothin, clindamycin, erythromycin, and vancomycin, with 14% resistance to trimethoprim/sulfamethoxazole and 4% resistance to tetracycline. Only one isolate was a toxigenic strain. Conclusion The majority of C. diphtheriae isolated were from SSIs in otherwise healthy travelers returning from tropical destinations, rather than classical risk groups. Clinicians and laboratories need to be aware of this potential source of C. diphtheriae infection due to rare toxigenic strains.
      PubDate: 2013-11-08T02:58:22.625842-05:
      DOI: 10.1111/jtm.12074
       
  • Diarrheal Illness Among US Residents Providing Medical Services in Haiti
           During the Cholera Epidemic, 2010 to 2011
    • Authors: Katharine A. Schilling; Emily J. Cartwright, John Stamper, Michael Locke, Douglas H. Esposito, Victor Balaban, Eric Mintz
      Pages: n/a - n/a
      Abstract: Although nosocomial transmission of cholera is rare, two US healthcare workers (HCW) became ill with cholera after providing medical services during the Haiti cholera epidemic. To assess the incidence of diarrheal illness and explore preventive health behaviors practiced by US residents who provided medical services in Haiti, we conducted a cross‐sectional, anonymous, web‐based survey. We e‐mailed 896 participants from 50 US‐based, health‐focused non‐governmental organizations (NGOs), of whom 381 (43%) completed the survey. Fifty‐six percent of respondents (n = 215) reported providing some care for patients with cholera. Diarrhea was reported by 31 (8%) respondents. One person was diagnosed with cholera by serologic testing. NGOs responding to international emergencies should ensure ample access to basic hygiene supplies and should promote their use to reduce the incidence of diarrheal illness among HCW working overseas.
      PubDate: 2013-11-08T02:58:19.222753-05:
      DOI: 10.1111/jtm.12075
       
  • Three Cases of Imported Neurocysticercosis in Northern Italy
    • Authors: Maria Teresa Giordani; Francesca Tamarozzi, Federico Cattaneo, Enrico Brunetti
      Pages: n/a - n/a
      Abstract: Background. Neurocysticercosis (NCC) is an important cause of adult‐onset seizures in endemic areas, whereas it is emerging in some nonendemic areas as well because of extensive immigration. Method. We describe three cases of imported NCC recently admitted to San Bortolo Hospital in Vicenza, located in Northern Italy. Results. All patients were immigrants. One patient was human immunodeficiency virus positive with severe immunosuppression. The diagnosis of NCC was made on the basis of magnetic resonance results; failure of anti‐Toxoplasma, antitubercular, and antifungal therapy; and regression of the cystic lesions after empiric therapy with albendazole. Serology was positive in only one case. In one patient, NCC was diagnosed by biopsy of the brain lesion. Conclusion. In nonendemic countries, NCC should be included in the differential diagnosis of all patients coming from endemic areas with seizures, hydrocephalus, and compatible lesions on brain imaging. Long‐term follow‐up is required but may be difficult to implement because these patients tend to move in search of employment. Screening of patient's household contacts for Taenia solium infection should always be carried out.
      PubDate: 2013-09-10T21:51:33.781364-05:
      DOI: 10.1111/jtm.12066
       
  • Mosquito Bite‐Avoidance Attitudes and Behaviors in Travelers at Risk
           of Malaria
    • Authors: Larry Goodyer; John Song
      Pages: n/a - n/a
      Abstract: Introduction Mosquito bite prevention is an important strategy to reduce the risk of contracting malaria and advice on the methods available should be offered in pre‐travel consultations. This study examines the attitudes of a cohort of UK travelers to the various bite‐avoidance strategies and the extent to which they are practiced when visiting malaria‐endemic areas. Method This was a retrospective cohort study of UK travelers above 18 years of age returning from malaria‐endemic areas. Those who agreed to participate were emailed a Web‐based questionnaire on their return to the UK. The questionnaire consisted of items relating to attitudes to bite‐avoidance measures and malaria and the use of bite‐avoidance measures while away. Results One hundred and thirty‐two travelers completed the questionnaire representing a 51% response rate. Frequent use of repellents (69%) was higher than covering the arms (49%) and legs (56%), or using insecticide vaporizers (16%), sprays (24%), and bed nets (32%). Those under the age of 30 tended to use bite avoidance less frequently. Gender, purpose, and duration of travel were also found to influence the use of particular measures. A reliable 17‐point attitude to the bite‐avoidance questionnaire (Cronbach's alpha = 0.70) was constructed and a subscale score indicated that attitudes influenced the use of repellents. Conclusion The use of measures to avoid mosquito bites on retiring and covering arms and legs needs to be further emphasized to travelers. The attitude scales described could be a useful tool in practice and research into this area.
      PubDate: 2013-07-09T01:53:12.476039-05:
      DOI: 10.1111/jtm.12053
       
  • Risk Assessment and Prevention of Malaria Among Italian Troops in
           Afghanistan, 2002 to 2011
    • Authors: Mario S. Peragallo; Giuseppe Sarnicola, Daniela Boccolini, Roberto Romi, Giacomo Mammana
      Pages: n/a - n/a
      Abstract: Background Malaria prevention policy is different among coalition troops in Afghanistan, ranging from the combined use of suppressive and terminal chemoprophylaxis to the absence of any prophylactic regimen. The objective of this study was to assess the compliance with malaria prevention measures and the risk of malaria among Italian troops in Afghanistan. Methods Target population was the cohort of 32,500 army soldiers deployed in Afghanistan, 2002 to 2011; eligible subjects were the 21,900 soldiers stationed in endemic areas, who were prescribed mefloquine chemoprophylaxis. Adherence to chemoprophylaxis was assessed by a cross‐sectional study in a volunteer sample of 5,773 (26.4%) of eligible subjects. The risk of malaria was assessed by detecting malaria cases in the target population. Results Mefloquine chemoprophylaxis was administered to 4,123 (71.4%) of the 5,773 enrolled soldiers and 3,575 (86.7%) of these took it regularly; however, compliance dropped from 80.9% (2,592/3,202) in 2002 to 2006 to 59.5% (1,531/2,571) in 2007 to 2011 (p 
      PubDate: 2013-07-04T05:24:27.315416-05:
      DOI: 10.1111/jtm.12046
       
 
 
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