Skip to main content
SpringerLink
Log in

Voyage et médecine d’urgence chez la personne âgée

Travel and emergency medicine in the elderly

  • Mise Au Point / Update
  • Published:
Les cahiers de l'année gérontologique

Résumé

La population âgée qui voyage augmente parallèlement à l’espérance de vie sans invalidité et la facilitation des transports. Le vieillissement n’est pas une contreindication au voyage, mais est associé à une majoration du risque de complications en cas d’événement aigu. Les pathologies les plus fréquemment rencontrées sont d’origine cardiovasculaire, suivies des pathologies gastro-intestinales et respiratoires. Les pathologies plus exotiques, bactériennes et parasitaires sont rares, mais ont une présentation particulière chez la personne âgée qu’il convient de connaître.

Abstract

The number of elderly travellers is increasing, as life expectancy without disability and transport facilitation. Ageing itself is not a contraindication to travel, but is associated with higher risk of complications during travel. Diseases most frequently encountered are cardiovascular events, followed by gastrointestinal diseases and respiratory tract infections. Exotic bacterial and parasitic pathologies are rare, but have special presentation in the elderly which should be known.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Robert-Bobée I (2005–2050) Projections de population pour la France métropolitaine à l’horizon 2005. Insee, projections de population

  2. Insee, estimations de population et statistiques de l’état civil 01/2011

  3. Doisneau L. Panorama démographique de la France en 2000. Insee: population, famille

  4. Recommandations sanitaires pour les voyageurs, 2010. Bulletin épidémiologique hebdomadaire, juin 2010

  5. Crétel E, Veen I, Pierres A, et al (2010) Immunosénescence et infections, mythe ou réalité ? Médecine et maladies infectieuses 40:307–318

    Article  PubMed  Google Scholar 

  6. Insee, enquêtes de conjoncture auprès des ménages 1979–1994, enquêtes permanentes sur les conditions de vie de 1999 et 2004

  7. Reed C (2007) Travel recommendations for older adults. Clin Geriatr Med 23:687–713

    Article  PubMed  Google Scholar 

  8. Cooper MC (2006) The elderly travellers. Travel Med Infect Dis 4:218–222

    Article  PubMed  Google Scholar 

  9. Boddaert J, Bodier N, Verny M (2007) Les seniors, des voyageurs à risque. Rev Prat 57:855–856

    Google Scholar 

  10. Possick SE, Barry M (2004) Evaluation and management of the cardiovascular patient embarking on air travel. Ann Intern Med 141(2):148–154

    PubMed  Google Scholar 

  11. Low JA, Chan DK (2002) Air travel in older people. Age Ageing 31(1):17–22

    Article  PubMed  Google Scholar 

  12. British thoracic society standards of care committee (2002) Managing passengers with respiratory disease planning air travel: British thoracic society recommandations. Thorax 57:289–304

    Article  Google Scholar 

  13. Cole MG (2004) Delirium in elderly patients. Am J Geriatr Psychiatry 12:7–21

    PubMed  Google Scholar 

  14. White A, Allen S (1992) How to ensure happy landings for elderly travelers. Geriatric Medicine 23–24

  15. Aqilina C, Matthews D (2006) Cognitive impairment precipited by air travel. Int J Geriatr Psychiatry 21:398–399

    Article  Google Scholar 

  16. Rands (2002) Fear of flying, reviewed. Psychiatric Bulletin 26:188–190

    Article  Google Scholar 

  17. Cailhol J (2007) Voyageurs à risques particuliers. Rev Prat 57:852–859

    PubMed  Google Scholar 

  18. Reed CM, McIntosh IB, Powers K (1994) Travel illness and the family practionner: a retrospective assessment of travel-induced in general practice and the effect of a travel illness clinic. J Travel Med 1:192–198

    Article  PubMed  Google Scholar 

  19. Alon D, Shitrit P, Chowers M (2010) Risk, behaviours and spectrum of diseases among elderly. J Travel Med 17(4):250–255

    Article  PubMed  Google Scholar 

  20. Field V, Gautret P, Schlagenhauf P, et al (2010) EuroTravNet network. Travel and migration associated infectious diseases morbidity in Europe, 2008. BMC Infect Dis 10:330

    Article  PubMed  Google Scholar 

  21. Gautret P, Schlagenhauf P, Gaudart J, et al (2009) Multicenter EuroTravNet/GeoSentinel study of travel-related infectious diseases in Europe. Emerg Infect Dis 15(11):1783–1790

    PubMed  Google Scholar 

  22. Brousse G (1997) Le voyage du sujet âgé. Med Trop 5:443–435

    Google Scholar 

  23. Gordon ME (1991) Gastrointestinal and other vulnerabilities for geriatric globetrotters. Clin Geriatr Med 7(2):321–330

    PubMed  CAS  Google Scholar 

  24. Steffen R, Tornieporth N, Clemens SA, et al (2004) Epidemiology of travelers’ diarrhea: details of a global survey. J Travel Med 11:231–237

    Article  PubMed  Google Scholar 

  25. Hill D (2000) Occurrence and self-treatment of diarrhea in a large cohort of Americans travelling to developing countries. Am J Trop Med Hyg 62:585–589

    PubMed  CAS  Google Scholar 

  26. Owens RC Jr, Ambrose PG (2005) Antimicrobial safety: focus on fluoroquinolones. Clin Infect Dis 41(Suppl 2):S144–S157

    Article  PubMed  CAS  Google Scholar 

  27. Taylor DN (2005) Poorly absorbed antibiotics for the treatment of traveler’s diarrhea. Clin Infect Dis 41(Suppl 8):S564–S570

    Article  PubMed  CAS  Google Scholar 

  28. Martinez-Sandoval F, Ericsson CD, Jiang ZD, et al (2010) Prevention of travelers’ diarrhea with rifaximin in US travelers to Mexico. J Travel Med 17(2):111–117

    Article  PubMed  Google Scholar 

  29. DuPont HL, Ericsson CD, Farthing MJ, et al (2009) Expert review of the evidence base for prevention of travelers’ diarrhea. J Travel Med 16(3):149–160

    Article  PubMed  Google Scholar 

  30. Rendi-Wagner P, Kollaritsch H (2002) Drug prophylaxis for travelers’ diarrhea. Clin Infect Dis 34(5):628–633

    Article  PubMed  Google Scholar 

  31. Wilson ME, Weld LH, Boggild A, et al (2007) GeoSentinel Surveillance Network. Fever in returned travelers: results from the GeoSentinel Surveillance Network. Clin Infect Dis 44(12):1560–1568

    Article  PubMed  Google Scholar 

  32. Mittelholzer ML, Wall M, Steffen R, Stürchler D (1996) Malaria prophylaxis in different age groups. J Travel Med 3(4):219–223

    Article  PubMed  Google Scholar 

  33. Mittelholzer ML, Wall M, Steffen R, Stürchler D (1996) Malaria prophylaxis in different age groups. J Travel Med 3(4):219–223

    Article  PubMed  Google Scholar 

  34. Gjorup IE, Ronn A (2002) Malaria in elderly nonimmune travelers. J Travel Med 9:91–93

    Article  PubMed  Google Scholar 

  35. Muhlberger N, Jelinek T, Behrens RH, et al (2003) Age as a risk factor for severe manifestations and fatal outcome of falciparum malaria in European patients: observations from TropNetEurop and SIMPID Surveillance Data. Clin Infect Dis 36:990–995

    Article  PubMed  CAS  Google Scholar 

  36. Stich A, Zwicker M, Steffen T, et al (2003) Old age as risk factor for complications of malaria in non-immune travellers. Dtsch Med Wochenschr 128(7):309–314

    Article  PubMed  CAS  Google Scholar 

  37. Baird JK, Masbar S, Basri H, et al (1998) Age-dependent susceptibility to severe disease with primary exposure to Plasmodium falciparum. J Infect Dis 178:592–595

    PubMed  CAS  Google Scholar 

  38. Schwartz E, Sadetzki S, Murad H, Raveh D (2001) Age as a risk factor for severe Plasmodium falciparum malaria in nonimmune patients. Clin Infect Dis 33:1774–1777

    Article  PubMed  CAS  Google Scholar 

  39. Kleinschmidt I, Sharp B (2001) Patterns in age-specific malaria incidence in a population exposed to low levels of malaria transmission intensity. Trop Med Int Health 6:986–991

    Article  PubMed  CAS  Google Scholar 

  40. N’Diaye CL (2003) Paludisme: aspects épidémiologiques, cliniques et évolutifs chez la personne âgée à Dakar. Infectious Disease Departement, Cheikh Anta Diop University, Dakar p 96

    Google Scholar 

  41. Gavazzi G, Herrmann F, Krause KH (2004) Aging and infectious diseases in the developing world. Clin Infect Dis 39(1):83–91

    Article  PubMed  Google Scholar 

  42. Elliot AJ, Fleming DM (2008) Influenza and respiratory syncytial virus in the elderly. Expert Rev Vaccines 7:249–258

    Article  PubMed  Google Scholar 

  43. Bourée P (2003) Immunity and immunization in elderly. Pathol Biol (Paris) 51(10):581–585

    Google Scholar 

  44. Stamboulian D, Bonvehi PE, Nacinovich FM, Ruttimann RW (1999) Immunization against influenza in the elderly: the Argentinian experience, 1993–1997. Vaccine 17(Suppl 1):S53–S56

    Article  PubMed  Google Scholar 

  45. Jianping H, Xin F, Changshun L, et al (1999) Assessment of effectiveness of Vaxigrip. Vaccine 17(Suppl 1):S57–S58

    Article  PubMed  Google Scholar 

  46. García-Rivera EJ, Rigau-Pérez JG (2003) DDengue severity in the elderly in Puerto Rico. Rev Panam Salud Publica 13(6):362–368

    Article  PubMed  Google Scholar 

  47. Lee IK, Liu JW, Yang KD (2008) Clinical and laboratory characteristics and risk factors for fatality in elderly patients with dengue hemorrhagic fever. Am J Trop Med Hyg 79(2):149–153

    PubMed  Google Scholar 

  48. La couverture vaccinale contre le tétanos, la poliomyélite et la diphtérie en 2006 dans une population âgée francilienne. Bulletin épidémiologique hebdomadaire no°9, février 2008

  49. Khromava AY, Eidex RB, Weld LH, et al (2005) Yellow fever vaccine: an updated assessment of advanced age as a risk factor for serious adverse events. Vaccine 23:3256–3263

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de gériatrie aiguë, CHU Beaujon, 100, boulevard du Général-Leclerc, F-92110, Clichy, France

    M. Brihier

  2. Centre de gériatrie-service d’accueil des urgences, GH Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, F-75651, Paris cedex 13, France

    J. Boddaert

Authors
  1. M. Brihier
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Boddaert
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Brihier.

About this article

Cite this article

Brihier, M., Boddaert, J. Voyage et médecine d’urgence chez la personne âgée. cah. année gerontol. 3, 77–82 (2011). https://doi.org/10.1007/s12612-011-0181-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12612-011-0181-6

Mots clés

Keywords

Search

Navigation