{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T15:11:12Z","timestamp":1744211472461},"reference-count":19,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:p>We evaluated differences in pretravel care, exposures, and illnesses among pediatric and adult travelers, using a prospective, observational cohort. Eighty-one pediatric travelers were matched 1:1 with adult military dependents by travel region, destination\u2019s malaria risk, and travel duration. Pediatric travelers were more likely to have coverage for hepatitis A and B (90% versus 67% of adults; 85% versus 44%), visit friends and relatives (36% versus 16%), report mosquito bites (69% versus 44%), and have close contact with wild or domesticated animals (40% versus 20%) than adults (<jats:italic>P<\/jats:italic> &lt; 0.05). Subjects &lt; 10 years of age were less likely to be prescribed antibiotics (28% versus 95%; RR = 0.63; 95% CI: 0.46\u20130.85) and antidiarrheals (9% versus 100%; RR = 0.10; 95% CI: 0.03\u20130.29) for travelers\u2019 diarrhea (TD) self-treatment than adults. Travel medicine providers should emphasize strategies for vector avoidance, prevention of animal bites and scratches, and TD self-treatment in pediatric pretravel consultations.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0353","type":"journal-article","created":{"date-parts":[[2019,3,26]],"date-time":"2019-03-26T07:01:28Z","timestamp":1553583688000},"page":"1285-1289","source":"Crossref","is-referenced-by-count":6,"title":["A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries"],"prefix":"10.4269","volume":"100","author":[{"given":"David P.","family":"Ashley","sequence":"first","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"},{"name":"Naval Medical Center, San Diego, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Fraser","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Yun","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center, San Antonio, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjali","family":"Kunz","sequence":"additional","affiliation":[{"name":"Madigan Army Medical Center, Tacoma, Washington;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Fairchok","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"},{"name":"Madigan Army Medical Center, Tacoma, Washington;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Tribble","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Indrani","family":"Mitra","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Naval Medical Center, San Diego, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick W.","family":"Hickey","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuradha","family":"Ganesan","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"},{"name":"Walter Reed National Military Medical Center, Bethesda, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert G.","family":"Deiss","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"},{"name":"Naval Medical Center, San Diego, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahaniyat","family":"Lalani","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"},{"name":"Naval Medical Center, Portsmouth, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland;"},{"name":"Naval Medical Center, San Diego, California;"},{"name":"San Antonio Military Medical Center, San Antonio, Texas;"},{"name":"Madigan Army Medical Center, Tacoma, Washington;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"year":"2014","series-title":"Profile of US Resident Travelers Visiting Overseas Destinations: 2014 Outbound","author":"National Travel and Tourism Office","key":"b1"},{"key":"b2","series-title":"Pediatrics","first-page":"e1072","article-title":"Illness in children after international travel: analysis from the GeoSentinel Surveillance Network","volume":"125","author":"Hagmann","year":"2010"},{"key":"b3","series-title":"Pediatr Infect Dis J","first-page":"392","article-title":"Travelers\u2019 diarrhea in children at risk: an observational study from a Spanish database","volume":"35","author":"Soriano-Arandes","year":"2016"},{"key":"b4","series-title":"J Travel Med","first-page":"152","article-title":"Epidemiology and self-treatment of travelers\u2019 diarrhea in a large, prospective cohort of department of defense beneficiaries","volume":"22","author":"Lalani","year":"2015"},{"key":"b5","series-title":"MMWR Surveill Summ","first-page":"1","article-title":"Surveillance for travel-related disease\u2013GeoSentinel surveillance system, United States, 1997\u20132011","volume":"62","author":"Harvey","year":"2013"},{"year":"2010","series-title":"Where\u2019s the Match? 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