International travel: Recommendations for the HIV-infected patient
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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 waterborne 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 illness.
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References and Recommended Reading
- 10.Recommended adult immunization schedule--United States, 2003–2004. MMWR Morb Mortal Wkly Rep 2003, 52:965-970.Google Scholar
- 11.Tattevin P, Depatureaux AG, Chapplain JM, et al.: Yellow fever vaccine is safe and effective in HIV-infected patients. AIDS 2004, 18:825–827. This retrospective study of 12 HIV-infected patients who received yellow fever vaccine found that risk for adverse outcomes is limited and effectiveness is reliable.PubMedCrossRefGoogle Scholar
- 17.Kaplan JE, Masur H, Holmes KK, et al.: Guidelines for preventing opportunistic infection among HIV-infected persons-2002. Recommendations of the U.S. Public Health Service and the Infectious Diseases Society of America. MMWR Recomm Rep 2002, 51:1–52.Google Scholar
- 18.Centers for Disease Control and Prevention: National Center for Infectious Diseases—travelers’ health. http://www.cdc.gov/ travel. Accessed June 14, 2004. This is a current source for travel advice, including recent outbreaks, travel medicine, and information specific to travelers’ destinations.Google Scholar
- 19.United States Department of State: Medical information for Americans traveling abroad. http://www.travel.state.gov/ medical.html. Accessed June 14, 2004.Google Scholar
- 20.World Heath Organization: International travel and health. http://www.who.int/ith. Accessed June 14, 2004.Google Scholar