for Journals by Title or ISSN
for Articles by Keywords
  Subjects -> RECREATION, TRAVEL AND TOURISM (Total: 130 journals)
    - HOTELS AND RESTAURANTS (1 journals)
    - LEISURE AND RECREATION (21 journals)

RECREATION, TRAVEL AND TOURISM (108 journals)                  1 2     

40 [degrees] South     Full-text available via subscription   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 5)
Almatourism - Journal of Tourism, Culture and Territorial Development     Open Access   (Followers: 11)
American Journal of Tourism Management     Open Access   (Followers: 3)
American Journal of Tourism Research     Open Access   (Followers: 10)
Anatolia : An International Journal of Tourism and Hospitality Research     Hybrid Journal   (Followers: 5)
Annals of Tourism Research     Hybrid Journal   (Followers: 27)
Asia Pacific Journal of Tourism Research     Hybrid Journal   (Followers: 18)
Australian Antarctic Magazine     Free   (Followers: 4)
Caderno Virtual de Turismo     Open Access  
Cornell Hospitality Quarterly     Hybrid Journal   (Followers: 6)
Craft Research     Hybrid Journal   (Followers: 1)
Cuadernos de Turismo     Open Access  
Current Issues in Tourism     Hybrid Journal   (Followers: 17)
Czech Journal of Tourism     Open Access   (Followers: 2)
EchoGéo     Open Access   (Followers: 1)
Educación física y deporte     Open Access  
El Periplo Sustentable     Open Access  
Enlightening Tourism. A Pathmaking Journal     Open Access   (Followers: 4)
Estudios y Perspectivas en Turismo     Open Access  
Event Management     Full-text available via subscription   (Followers: 9)
Gestion Turistica     Open Access  
Globe, The     Full-text available via subscription   (Followers: 4)
Hospitality & Society     Hybrid Journal   (Followers: 2)
Hospitality Review     Full-text available via subscription   (Followers: 2)
Information Technology & Tourism     Full-text available via subscription   (Followers: 17)
Interaction     Full-text available via subscription   (Followers: 2)
International Journal of Contemporary Hospitality Management     Hybrid Journal   (Followers: 11)
International Journal of Culture Tourism and Hospitality Research     Hybrid Journal   (Followers: 14)
International Journal of Digital Culture and Electronic Tourism     Hybrid Journal   (Followers: 9)
International Journal of Event and Festival Management     Hybrid Journal   (Followers: 9)
International Journal of Hospitality & Tourism Administration     Hybrid Journal   (Followers: 7)
International Journal of Hospitality Management     Hybrid Journal   (Followers: 13)
International Journal of Religious Tourism and Pilgrimage     Open Access   (Followers: 2)
International Journal of Tourism Anthropology     Hybrid Journal   (Followers: 7)
International Journal of Tourism Policy     Hybrid Journal   (Followers: 7)
International Journal of Tourism Research     Hybrid Journal   (Followers: 14)
Journal of Business & Hotel Management     Partially Free  
Journal of China Tourism Research     Hybrid Journal   (Followers: 7)
Journal of Ecotourism     Hybrid Journal   (Followers: 3)
Journal of Environmental Management and Tourism     Open Access   (Followers: 3)
Journal of Franco-Irish Studies     Open Access  
Journal of Heritage Tourism     Hybrid Journal   (Followers: 9)
Journal of Hospitality & Tourism Education     Hybrid Journal   (Followers: 3)
Journal of Hospitality & Tourism Research     Hybrid Journal   (Followers: 12)
Journal of Hospitality and Tourism Management     Full-text available via subscription   (Followers: 12)
Journal of Hospitality and Tourism Technology     Hybrid Journal   (Followers: 4)
Journal of Hospitality Financial Management     Open Access   (Followers: 2)
Journal of Hospitality Marketing & Management     Hybrid Journal   (Followers: 11)
Journal of Indonesian Tourism and Development Studies     Open Access   (Followers: 1)
Journal of Outdoor Recreation and Tourism     Hybrid Journal   (Followers: 2)
Journal of Park and Recreation Administration     Full-text available via subscription   (Followers: 3)
Journal of Place Management and Development     Hybrid Journal   (Followers: 2)
Journal of Policy Research in Tourism, Leisure and Events     Hybrid Journal   (Followers: 10)
Journal of Quality Assurance in Hospitality & Tourism     Hybrid Journal   (Followers: 6)
Journal of Sport & Tourism     Hybrid Journal   (Followers: 9)
Journal of Sustainable Tourism     Hybrid Journal   (Followers: 11)
Journal of Tourism & Hospitality     Open Access   (Followers: 2)
Journal of Tourism and Cultural Change     Hybrid Journal   (Followers: 9)
Journal of Tourism and Recreation     Open Access   (Followers: 3)
Journal of Tourism Insights     Open Access   (Followers: 2)
Journal of Tourism Research & Hospitality     Hybrid Journal   (Followers: 3)
Journal of Travel & Tourism Marketing     Hybrid Journal   (Followers: 12)
Journal of Travel Medicine     Hybrid Journal  
Journal of Travel Research     Hybrid Journal   (Followers: 14)
Journal of Unconventional Parks, Tourism & Recreation Research     Open Access   (Followers: 1)
Journal of Vacation Marketing     Hybrid Journal   (Followers: 3)
Jurnal Master Pariwisata (Journal Master in Tourism Studies)     Open Access  
Mobilities     Hybrid Journal   (Followers: 5)
Multiciencias     Open Access  
PASOS Revista de Turismo y Patrimonio Cultural     Open Access   (Followers: 1)
Podium Sport, Leisure and Tourism Review     Open Access   (Followers: 2)
Polish Journal of Sport and Tourism     Open Access   (Followers: 2)
Provincia     Open Access  
RACE - Revista de Administração, Contabilidade e Economia     Open Access  
Recreational Sport Journal     Hybrid Journal   (Followers: 5)
ReiseRecht aktuell : Zeitschrift für das Tourismusrecht     Hybrid Journal  
Research in Hospitality Management     Full-text available via subscription   (Followers: 2)
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   (Followers: 2)
Scandinavian Journal of Hospitality and Tourism     Hybrid Journal   (Followers: 4)
Space and Culture     Hybrid Journal   (Followers: 4)
Studies in Travel Writing     Hybrid Journal   (Followers: 5)
Téoros     Open Access  
The Rangeland Journal     Hybrid Journal   (Followers: 2)
Tourism     Open Access   (Followers: 5)
Tourism & Management Studies     Open Access   (Followers: 3)
Tourism Analysis     Full-text available via subscription   (Followers: 10)
Tourism and Hospitality Research     Hybrid Journal   (Followers: 6)
Tourism Culture & Communication     Full-text available via subscription   (Followers: 5)
Tourism Economics     Full-text available via subscription   (Followers: 6)
Tourism Geographies: An International Journal of Tourism Space, Place and Environment     Hybrid Journal   (Followers: 14)
Tourism in Marine Environments     Full-text available via subscription   (Followers: 2)
Tourism Management     Hybrid Journal   (Followers: 11)
Tourism Management Perspectives     Hybrid Journal   (Followers: 1)
Tourism Planning & Development     Hybrid Journal   (Followers: 9)
Tourism Recreation Research     Hybrid Journal  

        1 2     

Journal Cover   Journal of Travel Medicine
  [SJR: 0.738]   [H-I: 40]   [0 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  [1597 journals]
  • Malaria Chemoprophylaxis and Self‐Reported Impact on Ability to
           Work: Mefloquine Versus Doxycycline
    • Authors: Andrew G. Terrell; Mike E. Forde, Richard Firth, David A. Ross
      Abstract: Background It is well known that both mefloquine and doxycycline are commonly associated with adverse effects when taken for malaria chemoprophylaxis. However, the relative impact of these on travelers' ability to work is not so well understood. The aim of this study was to identify which drug has a lesser impact on the ability to work as measured by self‐reported severity of adverse effects via a questionnaire. Methods This was a questionnaire‐based two‐arm cohort study. Participants were soldiers selected from 10 consecutive units training in Kenya during 2012 and 2013. The exposure was either doxycycline or mefloquine and the main outcome measure was impact upon ability to work. Each cohort was advised to take doxycycline or mefloquine with exceptions at the individual level where medically or occupationally advised. Results Significantly more (p 
      PubDate: 2015-10-01T00:59:47.512003-05:
      DOI: 10.1111/jtm.12232
  • Characteristics of Travelers to Asia Requiring Multidose Vaccine
           Schedules: Japanese Encephalitis and Rabies Prevention
    • Authors: Xaviour J. Walker; Elizabeth D. Barnett, Mary E. Wilson, William B. Macleod, Emily S. Jentes, Adolf W. Karchmer, Davidson H. Hamer, Lin H. Chen,
      Abstract: Background Japanese encephalitis (JE) and rabies are serious vaccine preventable diseases which are an important consideration for travelers to Asia. Methods Five Boston‐area travel clinics collected demographic data, trip information, and interventions for travelers to Asia seen at pre‐travel consultations from March 1, 2008, through July 31, 2010. We evaluated travelers for proportion vaccinated for JE and rabies, those traveling for >1 month, and whether travelers had adequate time to complete the JE series (clinic visit ≥28 days before departure) and rabies pre‐exposure prophylaxis (clinic visit ≥21 days before departure). Results Among 15,440 travelers from five Boston Area Travel Medicine Network travel clinics, Asia was the most common destination region, visited by 5,582 (36%) of travelers. Among these travelers, 4,810 (86%) planned to travel to only one Asian subregion. Median trip duration was 17 days, with more than 20% traveling for >1 month. The most common destinations were South (41%), Southeast (26%), and East (23%) Asia. Of those traveling to South, Southeast, or East Asia, over one‐third with trips >1 month had insufficient time to complete a series for either JE or rabies vaccine. Overall, only 10% of travelers were vaccinated (past and pre‐travel visit) for either JE or rabies, with lowest percentages among travelers visiting friends and relatives. Most travelers received advice on vector precautions (96%) and rabies prevention, which included avoiding animal contact, washing wounds, and obtaining appropriate post‐exposure prophylaxis (88%). Conclusion Given the insufficient time for completion and relatively low vaccination rates, greater awareness of earlier pre‐travel consultations, at least 4–6 weeks before travel, and accurate risk assessment for travelers are important. Effective counseling about vector avoidance, rabies, and animal bite prevention and management remains critical.
      PubDate: 2015-09-29T21:07:38.229257-05:
      DOI: 10.1111/jtm.12237
  • Using Locally Derived Seroprevalence Data on Measles, Mumps, Rubella, and
           Varicella by Birth Cohort to Determine Risks for Vaccine‐Preventable
           Diseases During International Travel
    • Abstract: Background Measles, mumps, rubella, and varicella (MMRV) were common childhood diseases in the United States prior to the introduction of their respective vaccines. Measles was declared eliminated in the United States in 2000. However, 628 cases were reported in 2014, the majority of which have been linked to international travel. The study team set out to investigate the seroprevalence of MMRV in our local population to determine whether such a process can lead to meaningful recommendations for assessing travelers at risk. Methods We conducted a cross‐sectional seroprevalence study using a quota sampling method. A total of 460 leftover serum samples were collected from individuals born prior to 1996, who live in the Lehigh Valley region of southeast Pennsylvania. The samples were allocated to five birth‐year cohorts, and the seroprevalence of each cohort to MMRV was compared. Additionally, overall seroprevalence of each disease was compared with data from prior national studies. Gender differences within each birth cohort were also assessed. Results The overall seroprevalence values of measles, mumps, rubella, and varicella were 85.8, 82.8, 96.6, and 97.4%, respectively. There were significant associations between seroprevalence and birth cohort for measles (p = 0.01) as well as mumps (p = 0.037). The overall seroprevalence for our study sample was significantly different from the national seroprevalence results of measles, mumps, and rubella. Conclusions Our study showed dramatically lower immunity rates for measles and mumps than those shown by prior national seroprevalence studies. The rates in many of the later birth cohorts born after 1966 were significantly lower than the rates reported as necessary to sustain herd immunity. Given that patients' immunization records are not always available or complete, collecting local seroprevalence data may be necessary to more accurately recommend antibody testing and vaccination during pre‐travel assessments.
      PubDate: 2015-09-28T02:50:01.587958-05:
      DOI: 10.1111/jtm.12235
  • Two Cases of Leptospirosis in French Travelers Returning From Koh Samui,
    • Abstract: We report the first two cases of leptospirosis in French travelers returning from Koh Samui, a famous tourist island in Thailand, in September 2014 and March 2015. The first patient developed a severe form of the disease including hemodynamic instability, interstitial pneumonia, rhabdomyolysis with renal impairment, and deep thrombocytopenia. The second patient had a milder disease, with severe muscle pain, jaundice, and renal impairment. The two patients reported bathing in fresh water in Namuang waterfall.
      PubDate: 2015-09-28T02:48:58.268051-05:
      DOI: 10.1111/jtm.12239
  • Melioidosis in Travelers: Review of the Literature
    • Authors: Michael Dan
      Abstract: Background Melioidosis is a bacterial infection endemic essentially in Southeast Asia and northern Australia. In temperate areas, the infection is extremely rare and is almost always imported by travelers or immigrants. The infection may affect almost any organ in the body, with various degrees of severity. Methods We reviewed the literature on melioidosis in travelers. For this purpose we searched PubMed and Google for relevant articles up to July 2015. Results We have identified 72 cases of melioidosis in travelers published in the literature. Melioidosis in travelers was acquired mostly in Thailand (46% of cases). The mean duration of stay in the endemic area was 36 days (range 7–330 days). Symptoms usually started at 23 days (range 1–360 days) after leaving the endemic area. The clinical presentation was varied, sepsis being the most common (34%) followed by pneumonia (29%) and abscess formation (25%). Melioidosis in travelers was less often associated with predisposing risk factors (37.5%), diabetes mellitus being the most common (21%), and had lower mortality (17%) than had the infection in autochthonous cases in Southeast Asia. Conclusions Melioidosis in travelers has its own characteristics, which distinguish it from other autochthonous diseases in indigenous populations. The possibility of melioidosis should be considered not only in patients originating from endemic areas, but also in patients returning from travel in those regions.
      PubDate: 2015-09-10T05:47:29.373699-05:
      DOI: 10.1111/jtm.12236
  • Cluster of Imported Vivax Malaria in Travelers Returning From Peru
    • Authors: Thomas Weitzel; Jaime Labarca, Claudia P. Cortes, Reinaldo Rosas, M. Elvira Balcells, Cecilia Perret
      Abstract: We report a cluster of imported vivax malaria in three of five Chilean travelers returning from Peru in March 2015. The cluster highlights the high risk of malaria in the Loreto region in northern Peru, which includes popular destinations for international nature and adventure tourism. According to local surveillance data, Plasmodium vivax is predominating, but Plasmodium falciparum is also present, and the incidence of both species has increased during recent years. Travelers visiting this region should be counseled about the prevention of malaria and the options for chemoprophylaxis.
      PubDate: 2015-09-10T05:37:50.76621-05:0
      DOI: 10.1111/jtm.12234
  • Legionnaires' Disease in Hotels and Passenger Ships: A Systematic Review
           of Evidence, Sources, and Contributing Factors
    • Authors: Varvara A. Mouchtouri; James W. Rudge
      Abstract: Background Travel‐associated Legionnaires' disease (LD) is a serious problem, and hundreds of cases are reported every year among travelers who stayed at hotels, despite the efforts of international and governmental authorities and hotel operators to prevent additional cases. Methods A systematic review of travel‐associated LD events (cases, clusters, outbreaks) and of environmental studies of Legionella contamination in accommodation sites was conducted. Two databases were searched (PubMed and EMBASE). Data were extracted from 50 peer‐reviewed articles that provided microbiological and epidemiological evidence for linking the accommodation sites with LD. The strength of evidence was classified as strong, possible, and probable. Results Three of the 21 hotel‐associated events identified and four of nine ship‐associated events occurred repeatedly on the same site. Of 197 hotel‐associated cases, 158 (80.2%) were linked to hotel cooling towers and/or potable water systems. Ship‐associated cases were most commonly linked to hot tubs (59/83, 71.1%). Common contributing factors included inadequate disinfection, maintenance, and monitoring; water stagnation; poor temperature control; and poor ventilation. Across all 30 events, Legionella concentrations in suspected water sources were >10,000 cfu/L,
      PubDate: 2015-07-29T05:26:07.93165-05:0
      DOI: 10.1111/jtm.12225
  • Concurrent Infection With Dengue Type 4 and Plasmodium falciparum Acquired
           in Haiti
    • Abstract: We report one laboratory‐confirmed coinfection by dengue type 4 and Plasmodium falciparum imported to Spain from Haiti. Diagnosis was made by real‐time polymerase chain reaction (RT‐PCR), serology, quantitative buffy coat, and thick blood smear. In areas where both infections are present, diagnosis of both diseases should be considered because a delay in the treatment of malaria could be fatal.
      PubDate: 2015-07-25T05:46:56.295842-05:
      DOI: 10.1111/jtm.12222
  • Inflight Emergencies During Eurasian Flights
    • Authors: Mustafa Kesapli; Can Akyol, Faruk Gungor, Angelika Janitzky Akyol, Dilek Soydam Guven, Gokhan Kaya
      Abstract: Background This study evaluated the incidence and status of urgent medical conditions, the attitudes of health professionals who encounter such conditions, the adequacy of medical kits and training of cabin crew in data‐received‐company aircrafts suggested by Aerospace Medical Association, and the demographic data of patients. Methods Data were collected from medical records of a major flight company from 2011 through 2013. All patients with complete records were included in the study. Numerical variables were defined as median and interquartiles (IQR) for median, while categorical variables were defined as numbers and percentage. Results During the study period, 10,100,000 passengers were carried by the company flights, with 1,312 (0.013%) demands for urgent medical support (UMS). The median age of the passengers who requested UMS was 45 years (IQR: 29–62). Females constituted 698 (53.2%) among the patients, and 721 (55%) patients were evaluated by medical professionals found among passengers. The most common nontraumatic complaints resulting in requests for UMS were flight anxiety (311 patients, 23.7%) and dyspnea (145 patients, 11%). The most common traumatic complaint was burns (221 patients, 16.8%) resulting from trauma during flight. A total of 22 (1.67%) emergency landings occurred for which the most frequent reasons were epilepsy (22.7%) and death (18.2%). Deaths during flights were recorded in 13 patients, whose median age was 77 years (IQR: 69–82), which was significantly higher compared to the age of patients requiring UMS (p 
      PubDate: 2015-07-23T02:24:15.085337-05:
      DOI: 10.1111/jtm.12230
  • General Practitioners' Perception of Risk for Travelers Visiting Friends
           and Relatives
    • Authors: Anita E. Heywood; Bradley L. Forssman, Holly Seale, C. Raina MacIntyre, Nicholas Zwar
      Abstract: Background General practitioners (GPs) are an important source of pre‐travel health advice for travelers; however, only a few studies have investigated primary healthcare provider–related barriers to the provision of pre‐travel health advice, particularly to travelers visiting friends and relatives (VFR). We aimed to investigate Australian GPs' knowledge, attitudes, and practices with regard to VFR travelers. Methods A postal survey was sent to randomly sampled GPs in Sydney, Australia, in 2012. The questionnaire investigated GPs' perception of risk and barriers to the provision of advice to VFR travelers. Results Of 563 GPs, 431 (76.6%) spoke a language other than English (LOTE) with 361 (64.1%) consulting in a LOTE. Overall, 222 (39.4%) GPs considered VFR travelers to be at higher risk than holiday travelers, with GPs consulting in English only [adjusted odds ratio (aOR) 1.65, 95% confidence interval (CI) 1.11–2.44, p = 0.01] and GPs considering long‐term migrants as VFR travelers (aOR 1.86 95% CI 1.07–3.23, p = 0.03) remaining significant on multivariate analysis. Conclusions Multilingual GPs are a valuable resource to reducing language and cultural barriers to healthcare. Targeted education of this subgroup of GPs may assist in promoting pre‐travel health assessments for VFR travelers. Awareness of the need for opportunistic targeting of migrants for pre‐travel consultation through routine identification of future travel is needed.
      PubDate: 2015-07-15T07:03:16.282346-05:
      DOI: 10.1111/jtm.12229
  • Rabies Vaccine and Rabies Immunoglobulin in Cambodia: Use and Obstacles to
    • Authors: Arnaud Tarantola; Sowath Ly, Sotheary In, Sivuth Ong, Yiksing Peng, Nayyim Heng, Philippe Buchy
      Abstract: Background Authorities have pledged to eliminate canine rabies by 2020 in Cambodia, a country with a very high rabies burden. Logistic and financial access to timely and adequate postexposure prophylaxis (PEP) is essential for preventing rabies in humans. Methods We undertook a survey of the few identified sites where PEP rabies vaccination and rabies immunoglobulin (RIG) are available in Cambodia. We examined the Rabies Prevention Center at Institut Pasteur du Cambodge (rpc@ipc) database and rpc@ipc order forms for 2012 to assess vaccine and RIG use. We conducted a rapid internet survey of centers that provide rabies vaccine and RIG in Cambodia, other than rpc@ipc. Results The cost of a full course of intramuscular or intradermal PEP in Cambodia, with and without RIG, was also estimated. Rabies vaccination is free of charge in one foundation hospital and is accessible for a fee at Institut Pasteur du Cambodge (IPC), some institutions, and some Cambodian private clinics. In 2012, 27,500 rabies vaccine doses (0.5 mL) and 591 equine RIG doses were used to provide intradermal PEP to 20,610 persons at rpc@ipc following animal bites. Outside of rpc@ipc, an estimated total of 53,400 vaccine doses and 200 RIG doses were used in Cambodia in 2012. The wholesale cost of full rabies PEP was estimated at 50% to 100% of a Cambodian farmer's monthly wage. Conclusions Local populations and travelers cannot be sure to locally access adequate and timely PEP due to high costs and low access to RIG. Travelers to high‐endemic areas such as Cambodia are strongly encouraged to undergo pre‐exposure vaccination or seek expert advice, as per World Health Organization (WHO) recommendations. State‐subsidized, pre‐positioned stocks of human vaccine and RIG in bite management centers would extend the rabies prevention centers network. Support from Institut Pasteur du Cambodge for staff training, cold chain, and quality control would contribute to reducing the risk of rabies deaths in Cambodia.
      PubDate: 2015-07-15T06:56:00.664976-05:
      DOI: 10.1111/jtm.12228
  • Round Pneumonia With Murine Typhus After Travel to Indonesia
    • Authors: Yukihiro Yoshimura; Yohei Sakamoto, Lee Kwangyeol, Yuichiro Amano, Natsuo Tachikawa
      PubDate: 2015-07-14T08:00:37.78943-05:0
      DOI: 10.1111/jtm.12226
  • Profile of Travelers With Preexisting Medical Conditions Attending a
           Specialist Travel Medicine Clinic in Ireland
    • Authors: Calvin Teo Jia Han; Gerard Flaherty
      Abstract: Background Patients with complex medical comorbidities travel for protracted periods to remote destinations, often with limited access to medical care. Few descriptions are available of their preexisting health burden. This study aimed to characterize preexisting medical conditions and medications of travelers seeking pre‐travel health advice at a specialized travel medicine clinic. Methods Records of travelers attending the Galway Tropical Medical Bureau clinic between 2008 and 2014 were examined and information relating to past medical history was entered into a database. Data were recorded only where the traveler had a documented medical history and/or was taking medications. Results Of the 4,817 records available, 56% had a documented medical history and 24% listed medications. The majority of travelers with preexisting conditions were female. The mean age of the cohort was 31.68 years. The mean period remaining before the planned trip was 40 days. Southeast Asia was the most popular single destination, and 17% of travelers with medical conditions were traveling alone. The most frequently reported conditions were allergies (20%), insect bite sensitivity (15%), asthma (11%), psychiatric conditions (4%), and hypertension (3%). Of the 30 diabetic travelers, 14 required insulin; 4.5% of travelers were taking immunosuppressant drugs, including corticosteroids. Half of the female travelers were taking the oral contraceptive pill while 11 travelers were pregnant at the time of their pre‐travel consultation. Conclusions This study provides an insight into the medical profile of travelers attending a travel health clinic. The diverse range of diseases reported highlights the importance of educating physicians and nurses about the specific travel health risks associated with particular conditions. Knowledge of the effects of travel on underlying medical conditions will inform the pre‐travel health consultation.
      PubDate: 2015-06-22T02:02:55.90801-05:0
      DOI: 10.1111/jtm.12221
  • Risk Factors for Colonization With Multidrug‐Resistant Bacteria
           Among Patients Admitted to the Intensive Care Unit After Returning From
    • Abstract: Background Few national recommendations exist on management of patients returning from abroad and all focus on hospitalized patients. Our purpose was to compare, in an intensive care unit (ICU), the admission prevalence and acquisition of multidrug‐resistant (MDR) bacteria carriage in patients with (“Abroad”) or without (“Local”) a recent stay abroad, and then identify the risk factors in “Abroad” patients. Methods In this retrospective study, we reviewed charts of all the patients hospitalized in the ICU unit from January 2011 through July 2013 with hygiene samplings performed. We identified all patients who had stayed abroad (“Abroad”) within 6 months prior to ICU admission. Results Of 1,842 ICU patients, 129 (7%) “Abroad” patients were reported. In the “Abroad” group, the rate of MDR strain carriage was higher at admission (33% vs 6.7%, p 
      PubDate: 2015-06-17T03:47:14.591385-05:
      DOI: 10.1111/jtm.12220
  • Travelers With Chikungunya Virus Infection Returning to Northwest Italy
           From the Caribbean and Central America During June–November 2014
    • Authors: Elisa Burdino; Tina Ruggiero, Maria Grazia Milia, Alex Proietti, Giuseppina Sergi, Ilaria Torta, Guido Calleri, Pietro Caramello, Donatella Tiberti, Valeria Ghisetti
      Abstract: Chikungunya virus (CHIKV) has recently emerged in the Caribbean. In Italy, CHIKV vector is documented in the Po river valley; therefore, a risk for autochthonous outbreaks is present. We report a case series of seven imported CHIKV infections in travelers returning from the Caribbean and Latin America occurring between June and November 2014, in the area of Turin, Northwest Italy, 3 years after the last imported cases were reported. These cases are a reminder of the need to always consider CHIKV infection in travelers from these epidemic areas as well as the importance of a prompt diagnosis.
      PubDate: 2015-06-17T03:04:16.186376-05:
      DOI: 10.1111/jtm.12219
  • Travel Medicine Encounters of Australian General Practice Trainees—A
           Cross‐Sectional Study
    • Authors: Simon Morgan; Kim M. Henderson, Amanda Tapley, John Scott, Mieke L. van Driel, Neil A. Spike, Lawrie A. McArthur, Andrew R. Davey, Nigel F. Catzikiris, Parker J. Magin
      Abstract: Background Travel medicine is a common and challenging area of clinical practice and practitioners need up‐to‐date knowledge and experience in a range of areas. Australian general practitioners (GPs) play a significant role in the delivery of travel medicine advice. We aimed to describe the rate and nature of travel medicine consultations, including both the clinical and educational aspects of the consultations. Methods A cross‐sectional analysis from an ongoing cohort study of GP trainees' clinical consultations was performed. Trainees contemporaneously recorded demographic, clinical, and educational details of consecutive patient consultations. Proportions of all problems/diagnoses managed in these consultations that were coded “travel‐related” and “travel advice” were both calculated with 95% confidence intervals (CIs). Associations of a problem/diagnosis being “travel‐related” or “travel advice” were tested using simple logistic regression within the generalized estimating equations (GEE) framework. Results A total of 856 trainees contributed data on 169,307 problems from 108,759 consultations (2010–2014). Travel‐related and travel advice problems were managed at a rate of 1.1 and 0.5 problems per 100 encounters, respectively. Significant positive associations of travel‐related problems were younger trainee and patient age; new patient to the trainee and practice; privately billing, larger, urban, and higher socioeconomic status practices; and involvement of the practice nurse. Trainees sought in‐consultation information and generated learning goals in 34.7 and 20.8% of travel advice problems, respectively, significantly more than in non‐travel advice problems. Significant positive associations of travel advice problems were seeking in‐consultation information, generation of learning goals, longer consultation duration, and more problems managed. Conclusions Our findings reinforce the importance of focused training in travel medicine for GP trainees and adequate exposure to patients in the practice setting. In addition, our findings have implications more broadly for the delivery of travel medicine in general practice.
      PubDate: 2015-06-02T02:07:34.937118-05:
      DOI: 10.1111/jtm.12216
  • Influenza Outbreaks Among Passengers and Crew on Two Cruise Ships: A
           Recent Account of Preparedness and Response to an Ever‐Present
    • Authors: Alexander J. Millman; Krista Kornylo Duong, Kathryn Lafond, Nicole M. Green, Susan A. Lippold, Michael A. Jhung
      Abstract: Background During spring 2014, two large influenza outbreaks occurred among cruise ship passengers and crew on trans‐hemispheric itineraries. Methods Passenger and crew information for both ships was obtained from components of the ship medical records. Data included demographics, diagnosis of influenza‐like illness (ILI) or acute respiratory illness (ARI), illness onset date, passenger cabin number, crew occupation, influenza vaccination history, and rapid influenza diagnostic test (RIDT) result, if performed. Results In total, 3.7% of passengers and 3.1% of crew on Ship A had medically attended acute respiratory illness (MAARI). On Ship B, 6.2% of passengers and 4.7% of crew had MAARI. In both outbreaks, passengers reported illness prior to the ship's departure. Influenza activity was low in the places of origin of the majority of passengers and both ships' ports of call. The median age of affected passengers on both ships was 70 years. Diagnostic testing revealed three different co‐circulating influenza viruses [influenza A(H1N1)pdm09, influenza A(H3N2), and influenza B] on Ship A and one circulating influenza virus (influenza B) on Ship B. Both ships voluntarily reported the outbreaks to the Centers for Disease Control and Prevention (CDC) and implemented outbreak response plans including isolation of sick individuals and antiviral treatment and prophylaxis. Conclusions Influenza activity can become widespread during cruise ship outbreaks and can occur outside of traditional influenza seasons. Comprehensive outbreak prevention and control plans, including prompt antiviral treatment and prophylaxis, may mitigate the impact of influenza outbreaks on cruise ships.
      PubDate: 2015-06-02T01:56:56.141959-05:
      DOI: 10.1111/jtm.12215
  • High Rate of Multidrug‐Resistant Gram‐Negative Bacilli
           Carriage and Infection in Hospitalized Returning Travelers: A
           Cross‐Sectional Cohort Study
    • Abstract: Background Carriage of and infection with multidrug‐resistant Gram‐negative bacilli (MDR‐GNB) are a potential cause of concern in travelers with no history of hospitalization abroad. Methods All consecutive returning travelers hospitalized in our department between February 2012 and January 2013 were prospectively screened for MDR‐GNB gastrointestinal tract carriage or infection. We compared the prevalence of MDR‐GNB in travelers to a non‐travelers nonexposed group. Then among the travelers, MDR‐GNB carriers were compared to noncarriers to determine risk factors of acquisition of MDR‐GNB. Results Overall, 359 patients (191 travelers, 168 non‐travelers) were included, and 25 (6.4%), including 23 travelers, harbored MDR‐GNB. Five travelers had an MDR‐GNB infection while 18 were asymptomatic enteric carriers. MDR‐GNB carriage or infection was significantly more frequent in travelers (11.0% vs 1.2% for non‐travelers, odds ratio (OR) = 11.3, p 
      PubDate: 2015-05-22T02:06:14.84014-05:0
      DOI: 10.1111/jtm.12211
  • Gnathostomiasis: An Emerging Infection of Raw Fish Consumers in
           Gnathostoma Nematode‐Endemic and Nonendemic Countries
    • Authors: James H. Diaz
      Abstract: Background Gnathostomiasis, a helminthic infection commonly reported in Southeast Asia and Latin America, may follow consumption of raw seafood infected with muscle‐encysted larvae of Gnathostoma species nematodes. As a result of increasingly exotic tastes for local ethnic dishes, including raw seafood, some regions outside of gnathostome‐endemic areas import live species for raw consumption. This may facilitate imported human gnathostomiasis or potentially the establishment of this zoonosis in formerly nonendemic regions. Traveling to a gnathostome‐endemic area is no longer a criterion for diagnosis. The objectives of this review are to enhance clinician awareness of this infection by describing the behavioral risk factors for its acquisition, life‐cycle, clinical manifestations, diagnosis, management, and prevention. Methods Internet search engines were queried with the key medical subject heading words. Case reports, case series, epidemiological investigations, and laboratory studies were reviewed; high risk behaviors for gnathostomiasis were identified; and human cases were stratified as cutaneous gnathostomiasis, visceral gnathostomiasis, neurognathostomiasis, and ocular gnathostomiasis. Results The greatest risk factors for gnathostomiasis included the consumption of raw freshwater seafood dishes in endemic regions and the consumption of raw imported or domestic seafood dishes in households and ethnic restaurants in many nonendemic regions. Conclusions Gnathostomiasis is no longer a disease of returning travelers, and autochthonous cases may be anticipated to increase as a result of the importation of live Gnathostoma‐infected species and the potential establishment of regional zoonoses of Gnathostoma‐infected wild species. Since the eradication of gnathostomiasis is unlikely given the global distribution of Gnathostoma nematodes, the only effective preventive strategy is to educate persons in endemic and nonendemic areas that fish, eels, frogs, snakes, and birds must be cooked thoroughly first before eating and not eaten raw or marinated. The onset of migratory subcutaneous swellings with hyper‐eosinophilia weeks to months after consuming raw seafood should provoke suspicion of gnathostomiasis.
      PubDate: 2015-05-22T02:05:59.403378-05:
      DOI: 10.1111/jtm.12212
  • Zika Virus in an American Recreational Traveler
    • Authors: Dyan J. Summers; Rebecca Wolfe Acosta, Alberto M. Acosta
      Abstract: We report the case of a 48‐year‐old American traveler who presented to our clinic with diffuse rash, malaise, fatigue, fever, arthralgia, low back pain, and bilateral exudative conjunctivitis. The patient had an extensive vaccination and travel history: most notable for prior receipt of yellow fever vaccine; extensive travel or residence in areas endemic for dengue, chikungunya, and West Nile virus; and recent travel to French Polynesia. Clinical and laboratory findings were consistent with Zika virus (ZIKV) infection. Our report highlights the need to include ZIKV in the differential diagnosis, especially in febrile patients with a rash returning from endemic areas.
      PubDate: 2015-05-21T07:02:51.572295-05:
      DOI: 10.1111/jtm.12208
  • Multidrug‐Resistant Bacteria Without Borders: Role of International
           Trips in the Spread of Multidrug‐Resistant Bacteria
    • Authors: Jordi Vila
      Pages: 289 - 291
      PubDate: 2015-09-03T03:14:06.998771-05:
      DOI: 10.1111/jtm.12231
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2015