Travel Medicine

Question 1

For a patient going to Asia, which vaccines/prophylaxis might you consider recommending?

Answer 1

• HAV
• Typhoid
• HBV
• Japanese encephalitis
• Dengue fever
• Malaria

Question 2

For a patient going to Africa, what vaccines/prophylaxis might you consider recommending?

Answer 2

• Meningococcus
• Yellow fever
• HAV
• HBV
• Malaria
• Rabies

Question 3

What are the common causes of watery, acute traveller’s diarrhoea?

Answer 3

• ETEC
• Viral
• Cholera

Question 4

What are the common causes of bloody, acute traveller’s diarrhoea?

Answer 4

• Shigella
• Salmonella
• Campylobacter
• Entamoeba

Question 5

What are the common causes of chronic (> 2 weeks) traveller’s diarrhoea?

Answer 5

• Mostly Giardia

Question 6

In a patient with a post-travel fever, what general causes might you consider at:

< 3 weeks?

> 3 weeks?

Answer 6

• Viruses and bacteria
• Parasites, hepatitis viruses and TB

Question 7

Of the two main malarial infections, which is most aggressive? How are they both treated?

Answer 7

• Vivax (most benign) - chloroquine (blood) and primaquine (liver)
• Falciparum (most aggressive) - artesunate/malarone