Travel medicine and pregnancy. Dr Peter A. Leggat MD, PhD, DrPH, FAFPHM, FACTM, FACRRM Deputy Director and Associate Professor Anton Breinl Centre for Public Health and Tropical Medicine James Cook University, Australia. About the author.
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Dr Peter A. Leggat
MD, PhD, DrPH, FAFPHM, FACTM, FACRRM
Deputy Director and Associate Professor
Anton Breinl Centre for Public Health and Tropical Medicine
James Cook University, Australia
Treatment & Rehabilitation
(Leggat et al., 2005)
Risk assessment, determining the risks of the destination, mode of travel and the special conditions of the traveler
Vaccinate when possible and indicated;
Provide the traveler with appropriate empirical self-treatment
Consider any concerns regarding underlying conditions and possible drug interactions
Consult experts in travel medicine or specialty areas as necessary
Educate the traveler
Remind the traveler that these precautions are not 100% protectiveGeneral Approach to the Traveller
When is the best time to travel during pregnancy?
Carroll et al. op cit
Praziquantel and other antiparasitics are probably safe
Quinolones (?safely)Pregnancy and antimicrobials*
WHO, 2005 op cit
*antimalarials to be discussed separately
Jothivijayarani, 2002 Op Cit
for chloroquine resistant areas
McGready et al., 2004. Op Cit; WHO, 2005 Op Cit
Recommended malarious area?
Chloroquine plus proguanil
Mefloquine (2nd and 3rd trimester)
Clindamycin (limited data)
Atovaquone plus proguanil (Malarone)
TafenoquinePregnancy and malaria treatment
WHO, 2005. Op Cit
WHO, 2005 op cit