The HIV-Infected Traveler. Merceditas Villanueva, MD Associate Professor of Medicine Yale University School of Medicine. The International AIDS Society–USA. From M Villanueva, MD, at New York, NY: March 22, 2010, IAS – USA. Travel Medicine.
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Merceditas Villanueva, MDAssociate Professor of MedicineYale University School of Medicine
The International AIDS Society–USA
From M Villanueva, MD, at New York, NY: March 22, 2010, IAS–USA.
Pre-HAART(Kemper et. al. 1992-93)
Survey in hospital-based HIV clinic, California
46% had traveled within US; 20% with foreign travel within2 years
Reason for travel:
30% thought last chance to travel
International Health Clinic, Ottawa, Canada
57% foreign born: travel to visit friends and relatives
43% Canadian born: travel for vacation and business
Destinations: (in order)
SE AsiaDemographics of International Travel in HIV-Infected Patients
Sherrard and McCarthy. Travel Medicine and Infectious Disease 2009; 7:291-295.
Kemper et. al. J Travel Med 1995; 2: 85-88.
Specifics of travel itinerary Travelers
Risks related to type of travel
HIV status: CD4, VL
CD4<200, defer travel
Use of ARVs
If starting new regimen, wait 3 months before travel
Emphasize adherence despite challenges abroad
Pack sufficient amount in hand luggage; leave in marked prescription bottlesTravel Medicine Practice: Assess Health of HIV-Infected Traveler
Whitworth J et. al. Lancet 2000; 356: 1051-1056.
Kublin J and Steketee R. J Infect Dis 2006; 193: 1-3.
Bottled fluids; boiled water Travelers
Fruits that can be peeled
YogurtDiseases Spread by Fecal Oral Route: Precautions