Malaria Journal | |
Malaria chemoprophylaxis recommendations for immigrants to Europe, visiting relatives and friends - a Delphi method study | |
Methodology | |
Guido Calleri1  Joaquim Gascon2  Tomas Jelinek3  Federico Gobbi4  Zeno Bisoffi4  Matthias L Schmid5  Martin P Grobusch6  Ron H Behrens7  Pietro Caramello8  Francesco Castelli9  | |
[1] Amedeo di Savoia Hospital, Department of Infectious Diseases, Travel Medicine Unit, Corso Svizzera 164, 10149, Torino, Italy;Barcelona Centre for International Health Research (CRESIB), Hospital Clinic/IDIBAPS, University of Barcelona, Spain. c/Villarroel, 170, 08036, Barcelona, Spain;Berlin Centre for Travel and Tropical Medicine, Jägerstr. 67-69, 10117, Berlin, Germany;Centre for Tropical Diseases, Ospedale Sacro Cuore, via Don Sempreboni 5, 37024, Negrar (Verona), Italy;Department of Infection & Tropical Medicine, Royal Victoria Infirmary, Queen Victoria Road, NE1 4LP, Newcastle upon Tyne, UK;Dept Infectious Diseases, Tropical Medicine and HIV/AIDS, Division of Medicine, Academic Medical Centrum (AMC), University of Amsterdam, Amsterdam, Netherlands;Dept of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel St, WC1E 7HT, London, UK;Infectious Diseases Unit, Amedeo di Savoia Hospital, ASL TO2, c. Svizzera 164, 10149, Torino, Italy;Institute for Infectious and Tropical Diseases, University of Brescia, piazzale Spedali Civili 1, 25123, Brescia, Italy; | |
关键词: Malaria; Delphi Method; Malaria Risk; Malaria Prophylaxis; Malaria Chemoprophylaxis; | |
DOI : 10.1186/1475-2875-10-137 | |
received in 2010-12-29, accepted in 2011-05-20, 发布年份 2011 | |
来源: Springer | |
【 摘 要 】
BackgroundNumbers of travellers visiting friends and relatives (VFRs) from Europe to malaria endemic countries are increasing and include long-term and second generation immigrants, who represent the major burden of malaria cases imported back into Europe. Most recommendations for malaria chemoprophylaxis lack a solid evidence base, and often fail to address the cultural, social and economic needs of VFRs.MethodsEuropean travel medicine experts, who are members of TropNetEurop, completed a sequential series of questionnaires according to the Delphi method. This technique aims at evaluating and developing a consensus through repeated iterations of questionnaires. The questionnaires in this study included questions about professional experience with VFRs, controversial issues in malaria prophylaxis, and 16 scenarios exploring indications for prescribing and choice of chemoprophylaxis.ResultsThe experience of participants was rather diverse as was their selection of chemoprophylaxis regimen. A significant consensus was observed in only seven of 16 scenarios. The analysis revealed a wide variation in prescribing choices with preferences grouped by region of practice and increased prescribing seen in Northern Europe compared to Central Europe.ConclusionsImproving the evidence base on efficacy, adherence to chemoprophylaxis and risk of malaria and encouraging discussion among experts, using techniques such as the Delphi method, may reduce the variability in prescription in European travel clinics.
【 授权许可】
CC BY
© Calleri et al; licensee BioMed Central Ltd. 2011
【 预 览 】
Files | Size | Format | View |
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RO202311104668772ZK.pdf | 1911KB | download |
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