14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 32.006 Session: Travel Medicine and Travel Health Date: Wednesday, March 10, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Transporting a critically ill patient from the Canadian north - lessons learned from almost a decade of SkyService Medevac experience G. Samoukovic 1 , E. Farias 2 , T. Malas 2 , H. Petrie 3 , M. Churchill Smith 2 1 McGill University Health Sciences Centre, H3A 1A1, QC, Canada, 2 McGill University Health Sciences Centre, Montreal, QC, Canada, 3 SkyService Medevac, Montreal, QC, Canada Background: Canadian North is vast territorially, yet medical resources are lacking man-power, expertise, equipment and facilities. Transport of seriously ill patients is, hence, a common necessity frequently requiring both ground and air transportation. SkyService Medevac is the major medevac air-transporter in Canada and one of the global leaders in the field. Methods: We reviewed the data related to a total of 988 cases of medical evacuations from 2002 to 2008. The data reveals information regarding demographics, pathology prompting the transport as well as medical expertise required for the transport. We pay special attention to the parameters concerning the neonatal and pediatric population. Results: Of the 988 cases (Table 1) of medical evacuation from Baffin Regional Hospital in Iqaluit, Nunavut, between 2002 and 2008, pediatric population comprised 35.6%, majority of whom were neonates. Almost 17% of the patients were critically ill, intubated and required intensive-care hospitalization. The most common pathologies prompting evacuation were those involving cardiovascular and respiratory systems. There were no in-flight mortalities, while invasive interventions by the medical staff were extremely rare after departure. Year Total Pts Vented Non Vented Age 18 2002 111 24 87 19 20 69 2003 169 44 124 40 20 96 2004 100 22 18 21 9 70 2005 104 22 82 19 20 63 2006 119 19 96 29 15 75 2007 164 21 143 25 26 113 2008 221 35 187 52 19 150 Total 988 165 823 205 147 636 Conclusion: Safe air transport from any destination is feasible, but required detailed planning, pre-flight preparation and expertise. SkyService Medevac data demonstrate that transport from Canadian North is not only safe, but also economically advantageous.
When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 32.007 Session: Travel Medicine and Travel Health Date: Wednesday, March 10, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Incidence and impact of travelers’ diarrhea among foreign backpackers in Southeast Asia W. Piyaphanee, T. Kusolsuk, C. Kittitrakul, W. Suttithum, T. Ponam, P. Wilairatana Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Background: Travelers’ diarrhea is the most common disease reported among travelers visiting developing countries, including Southeast Asia, which is visited by large numbers of backpackers each year. Current knowledge of this particular group is limited. This study aimed to determine the incidence and impact of travelers’ diarrhea among this group. The secondary objective was to assess their attitudes and practices towards the risk of travelers’ diarrhea. Methods: Foreign backpackers in Bangkok, Thailand, were invited to fill out a study questionnaire, in which they were queried about their demographic background, travel characteristics, pre-travel preparations, and actual practices related to the risk of travelers’ diarrhea. For backpackers who had experienced diarrhea, the details and impact of each diarrheal episode were also assessed. Results: In the period April-May 2009, 408 completed questionnaires were collected and analyzed. Sixty percent of participants were male; overall, the median age was 26 years. Nearly all backpackers (96.8%) came from developed countries. Their main reason for travel was tourism (88%). The median stay was 30 days. More than half the backpackers (56%) carried some antidiarrheal medication. Antimotility drugs were the most common medication carried by backpackers, followed by oral rehydration salts (ORS), and antibiotics. Although 61% of participants had received information about travelers’ diarrhea before the current trip, their practices were far from ideal; 95.7% had bought food from street vendors, 92.5% had drunk beverages with ice-cubes, 34.6% had eaten leftover food from a previous meal, and 27.5% had drunk tap water. Only 23% of backpackers always washed their hands before eating food. In this study, 31% (130/408) of backpackers had experienced diarrhea during their trip. Most cases (88.4%) were mild and recovered spontaneously. However, 8.5% of cases required a visit to a doctor, and 3.1% needed hospitalization; 16.28% had to delay or cancel their trip due to a diarrheal attack. Conclusion: About one third of the foreign backpackers in Southeast Asia had experienced diarrhea during their trip. Their current state of awareness and practices related to the risk of travelers’ diarrhea were inadequate and should be improved.
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