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https://www.readbyqxmd.com/read/27917091/vaccinating-patients-with-inflammatory-bowel-disease
#1
Jason Reich, Sharmeel Wasan, Francis A Farraye
Patients with inflammatory bowel disease (IBD) are not vaccinated at the same rate as general medical patients. IBD places patients at increased risk for developing vaccine-preventable illnesses, and this risk is further exacerbated by immunosuppressive therapy. Therefore, gastroenterologists should familiarize themselves with health maintenance measures pertaining to patients with IBD. This article highlights the vaccinations required for patients with IBD, especially those who are immunosuppressed: influenza; pneumococcal pneumonia; hepatitis A and B viruses; human papilloma virus; meningococcal disease; tetanus, diphtheria, and pertussis; measles, mumps, and rubella; varicella zoster; and herpes zoster...
September 2016: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27911041/impact-of-rabies-vaccination-history-on-attainment-of-an-adequate-antibody-titre-among-dogs-tested-for-international-travel-certification-israel-2010-2014
#2
B Yakobson, N Taylor, N Dveres, S Rotblat, Ż Spero, E W Lankau, J Maki
Rabies is endemic in wildlife or domestic carnivore populations globally. Infection of domestic dogs is of particular concern in many areas. In regions where domestic animals are at risk of exposure to rabies virus, dogs should be routinely vaccinated against rabies to protect both pet and human populations. Many countries require demonstration of an adequate level of serum rabies neutralizing antibodies to permit entry of dogs during international travel. We analysed rabies titres of dogs seeking travel certification in Israel to assess demographic and vaccine history factors associated with antibody titres below the acceptable threshold for travel certification...
December 2, 2016: Zoonoses and Public Health
https://www.readbyqxmd.com/read/27906864/potential-for-treatment-and-a-zika-virus-vaccine
#3
Natalie Quanquin, Lulan Wang, Genhong Cheng
PURPOSE OF REVIEW: Zika virus (ZIKV) has only recently been exposed as a significant public health threat, and much of our limited knowledge of its pathogenesis and triggered immune responses were discovered in only the last few years. There are currently no ZIKV-specific therapeutics or vaccines available. This review seeks to bring the reader up-to-date with the latest developments in finding a way to combat this emerging infectious disease. RECENT FINDINGS: Current strategies used for developing ZIKV vaccines or treatments follow proven methods used against other flaviviruses...
November 30, 2016: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/27905890/low-and-declining-attack-rates-of-imported-typhoid-fever-in-the-netherlands-1997-2014-in-spite-of-a-restricted-vaccination-policy
#4
F S T Suryapranata, M Prins, G J B Sonder
BACKGROUND: Typhoid fever mainly occurs in (sub) tropical regions where sanitary conditions remain poor. In other regions it occurs mainly among returning travelers or their direct contacts. The aim of this study was to evaluate the current Dutch guidelines for typhoid vaccination. METHOD: Crude annual attack rates (AR) per 100,000 Dutch travelers were calculated during the period 1997 to 2014 by dividing the number of typhoid fever cases by the estimated total number of travelers to a specific country or region...
December 1, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27892990/zika-virus-what-the-otolaryngologist-should-know-a-review
#5
Demetri Arnaoutakis, Tapan Padhya
Importance: Initially discovered in 1947, Zika virus infection received little notoriety as a tropical disease until 2015 when an outbreak of microcephaly cases was reported in Brazil. Zika is a single-stranded RNA arbovirus of the Flaviviridae family. The primary source of infection in humans stems from Aedes aegypti mosquito bites but can also occur through sexual, blood, and perinatal transmission. With expectations that 3 to 4 million people across the Americas will be infected over the next year, the World Health Organization has declared this event a Public Health Emergency of International Concern...
November 17, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27890811/enteric-fever-in-barcelona-changing-patterns-of-importation-and-antibiotic-resistance
#6
Ana Requena-Méndez, Monica Berrocal, Manuel Almela, Alex Soriano, Joaquim Gascón, José Muñoz
BACKGROUND: Enteric fever's incidence is decreasing among residents of high-income countries, although it's rising in travelers coming from low-resource endemic settings. The study's aim is to describe epidemiological, clinical and laboratory features of patients with enteric fever. METHODS: Retrospective descriptive study of enteric fever cases diagnosed at a Tropical Medicine Unit in Barcelona, 1993-2012. RESULTS: Out of 40 patients, 31(77,5%) were returning travelers, and 70% of them had been in Southern Asia...
November 24, 2016: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/27890663/hepatitis-b-a-cross-sectional-survey-of-knowledge-attitudes-and-practices-amongst-backpackers-in-thailand
#7
Georgina Frew, Elizabeth McGeorge, Sabrina Grant, Gilles de Wildt
BACKGROUND: In 2013, 200 million tourists visited countries that are endemic for hepatitis B virus (HBV). Backpackers are potentially at greater risk of hepatitis B than other travellers yet exposure to HBV remains under researched in this population. METHOD: A cross-sectional survey of backpackers visiting two islands in Thailand was performed during early 2015. Participation in activities with high HBV exposure risk was recorded, alongside rates of vaccination and an evaluation of knowledge and attitudes towards the risk of HBV...
November 23, 2016: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/27862959/understanding-zika-virus
#8
John S Murray
PURPOSE: This article describes what pediatric healthcare professionals should know about Zika virus (ZIKV). LITERATURE REVIEW: ZIKV is classified as an arthropod-borne, single-stranded RNA virus of the Flaviviridae family and genus Flavivirus. ZIKV is not new. The virus was first discovered almost 70 years ago in Uganda. The first isolate of the virus was found in rhesus monkeys in the Zika Forrest, hence the nomenclature. The primary route of ZIKV transmission to humans is through the bite of an infected Aedes species mosquito-primarily Aedes aegypti...
November 9, 2016: Journal for Specialists in Pediatric Nursing: JSPN
https://www.readbyqxmd.com/read/27822932/antibodies-against-hepatitis-a-and-hepatitis-b-virus-in-intravenous-immunoglobulin-products
#9
Soyoung Lee, Han Wool Kim, Kyung Hyo Kim
The worldwide seroprevalence of hepatitis A virus (HAV) and hepatitis B virus (HBV) has changed over the last two decades, indicating a declining incidence of HAV and HBV infections. Therefore, vaccinations against HAV and HBV are recommended for unimmunized people before traveling to an endemic area. Unfortunately, primary antibody deficiency (PAD) patients can only obtain humoral immunity through intravenous immunoglobulin G (IVIG) replacement and not from vaccination because of a defect in antibody production...
December 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27810884/enterotoxigenic-escherichia-coli-heat-stable-toxin-and-heat-labile-toxin-toxoid-fusion-3xstan12s-dmlt-induces-neutralizing-anti-sta-antibodies-in-subcutaneously-immunized-mice
#10
Rahul Nandre, Xiaosai Ruan, Qiangde Duan, Weiping Zhang
Enterotoxigenic Escherichia coli (ETEC) bacteria producing heat-stable toxin (STa) and/or heat-labile toxin (LT) are among top causes of children's diarrhea and travelers' diarrhea. Currently no vaccines are available for ETEC associated diarrhea. A major challenge in developing ETEC vaccines is the inability to stimulate protective antibodies against the key STa toxin which is potently toxic and also poorly immunogenic. A recent study suggested toxoid fusion 3xSTaN12S-dmLT, which consists of a monomer LT toxoid (LTR192G/L211A) and three copies of STa toxoid STaN12S, may represent an optimal immunogen inducing neutralizing antibodies against STa toxin [IAI 2014, 82(5):1823-32]...
November 2, 2016: FEMS Microbiology Letters
https://www.readbyqxmd.com/read/27805467/improving-immunization-approaches-to-cholera
#11
Amit Saha, Alexander Rosewell, Andrew Hayen, C Raina MacIntyre, Firdausi Qadri
Cholera's impact is greatest in resource-limited countries. In the last decade several large epidemics have led to a global push to improve and implement the tools for cholera prevention and control. Areas covered: PubMed, Google Scholar and the WHO website were searched to review the literature and summarize the current status of cholera vaccines to make recommendations on improving immunization approaches to cholera. Oral cholera vaccines (OCVs) have demonstrated their effectiveness in endemic, outbreak response and emergency settings, highlighting their potential for wider adoption...
November 2, 2016: Expert Review of Vaccines
https://www.readbyqxmd.com/read/27799502/refusal-of-recommended-travel-related-vaccines-among-u-s-international-travellers-in-global-travepinet
#12
Sara M Lammert, Sowmya R Rao, Emily S Jentes, Jessica K Fairley, Stefanie Erskine, Allison T Walker, Stefan H Hagmann, Mark J Sotir, Edward T Ryan, Regina C LaRocque
BACKGROUND: International travellers are at risk of travel-related, vaccine-preventable diseases. More data are needed on the proportion of travellers who refuse vaccines during a pre-travel health consultation and their reasons for refusing vaccines. METHODS: We analyzed data on travellers seen for a pre-travel health consultation from July 2012 through June 2014 in the Global TravEpiNet (GTEN) consortium. Providers were required to indicate one of three reasons for a traveller refusing a recommended vaccine: (1) cost concerns, (2) safety concerns or (3) not concerned with the illness...
July 2016: Journal of Travel Medicine
https://www.readbyqxmd.com/read/27780680/diseases-affecting-patients-returning-from-abroad-experience-of-a-travel-clinic-in-japan-from-2004-to-2014
#13
Yukihiro Yoshimura, Nobuyuki Miyata, Makiko Miyajima, Yohei Sakamoto, Yuichiro Amano, Natsuo Tachikawa
The number of patients returning from or staying abroad is likely to increase in the future. We performed a retrospective study of patients returning from abroad in our travel clinic in Japan. All patients presenting within 6 months of traveling abroad between 2004 and 2014 were included in the present study. A total of 2374 (mean age, 35 years) patients were seen by doctors specializing in treating infectious diseases. Of these, 918 were females and 87 of them lived abroad. Diagnoses and exposure regions were recorded for all patients...
October 22, 2016: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/27780630/effect-of-tdap-when-administered-before-with-or-after-the-13-valent-pneumococcal-conjugate-vaccine-coadministered-with-the-quadrivalent-meningococcal-conjugate-vaccine-in-adults-a-randomised-controlled-trial
#14
M Tashani, M Alfelali, O Barasheed, A S Alqahtani, L Heron, M Wong, H Rashid, R Booy
Sequential or co-administration of vaccines has potential to alter the immune response to any of the antigens. Existing literature suggests that prior immunisation of tetanus/diphtheria-containing vaccines can either enhance or suppress immune response to conjugate pneumococcal or meningococcal vaccines. We examined this interaction among adult Australian travellers before attending the Hajj pilgrimage 2014. We also investigated tolerability of these vaccines separately and concomitantly. We randomly assigned each participant to one of three vaccination schedules...
October 22, 2016: Vaccine
https://www.readbyqxmd.com/read/27780489/risk-assessment-and-laboratory-investigation-of-respiratory-illness-in-travellers-returning-to-singapore-2012-2015-experience-from-the-mers-cov-surveillance-programme
#15
M K Win, A Chow, H J Ho, S Y Tay, Y S Leo
Since the emergence of Middle East respiratory syndrome coronavirus (MERS-CoV), Singapore has enhanced its national surveillance system to detect the potential importation of this novel pathogen. Using the guidelines from the Singapore Ministry of Health, a suspect case was defined as a person with clinical signs and symptoms suggestive of pneumonia or severe respiratory infection with breathlessness, and with an epidemiological link to countries where MERS-CoV cases had been reported within the preceding 14 days...
October 26, 2016: Epidemiology and Infection
https://www.readbyqxmd.com/read/27779467/travel-related-tick-borne-encephalitis-israel-2006-2014
#16
Eyal Meltzer, Yael Paran, Yaniv Lustig, Shmuel Stienlauf, Miriam Weinberger, Eli Schwartz
During 2006-2014, four tick-borne encephalitis (TBE) cases occurred among Israeli travelers. We calculated TBE incidence at 321.0, 45.0, 13.2, and 7.5 cases/100,000 travelers/year of travel to Sweden, Switzerland, Austria, and Germany, respectively. TBE incidence among travelers to these destinations appears to justify TBE vaccination in accordance with World Health Organization recommendations.
January 15, 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/27777090/how-low-an-effect-of-a-preventive-measure-against-diarrhoea-are-travellers-willing-to-pay-for-a-survey-of-norwegian-travellers
#17
Gunnar Hasle, Lise Heier
BACKGROUND: Traveller's diarrhoea (TD) is the most common infectious problem for travellers, and we lack effective ways of preventing it, apart from antibiotic prophylaxis. This study aims to quantify the risk reduction of a hypothetic TD vaccine Norwegian travellers are willing to pay for. METHODS: 1204 clients at Reiseklinikken responded to a questionnaire asking what level of effectiveness would be required of a hypothetical vaccine against TD costing US$65. RESULTS: 18...
October 21, 2016: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/27773779/a-closer-look-at-travellers-infections-abroad-finnish-nationwide-data-with-incidences-2010-to-2012
#18
Heli Siikamäki, Pia Kivelä, Mikael Fotopoulos, Anu Kantele
BACKGROUND: Although infections represent the most common health problem of travellers abroad, data on morbidity and incidences of various infections are scarce. METHOD: Data on infections of Finnish travellers during 2010 to 2012 were retrieved from the database of SOS International, an assistance organization covering 95% of Finns requiring aid abroad. The study included 30,086 cases. For incidence calculation, the data were linked to the numbers of Finns visiting these regions during the same period as recorded by the Official Statistics of Finland...
October 20, 2016: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/27771122/-vaccination-status-in-psoriasis-patients-on-immunosuppressant-therapy-including-biologics
#19
A Bonhomme, E Fréling, M Reigneau, C Poreaux, A Valois, F Truchetet, A Barbaud, J-L Schmutz
OBJECTIVES: To evaluate the vaccine coverage of psoriasis patients prior to initiating or changing immunosuppressant therapy, and to verify that the prescribed vaccines have been administered. PATIENTS AND METHODS: We conducted a bi-centre, observational, cross-sectional study over 9 months. Psoriasis patients in whom immunosuppressant therapy (comprising cyclosporine, methotrexate, etanercept, infliximab, adalimumab or ustekinumab) was indicated were included. Medical history, previous treatments, vaccination status, viral serology results (for hepatitis B, measles, and chickenpox), and reasons for non-vaccination were assessed via questionnaire...
October 19, 2016: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/27738112/pre-travel-advice-attitudes-and-hepatitis-a-and-b-vaccination-rates-among-travellers-from-seven-countries%C3%A2
#20
Anita E Heywood, Hans Nothdurft, Dominique Tessier, Melissa Moodley, Lars Rombo, Cinzia Marano, Laurence De Moerlooze
BACKGROUND: Knowledge about the travel-associated risks of hepatitis A and B, and the extent of pre-travel health-advice being sought may vary between countries. METHODS: An online survey was undertaken to assess the awareness, advice-seeking behaviour, rates of vaccination against hepatitis A and B and adherence rates in Australia, Finland, Germany, Norway, Sweden, the UK and Canada between August and October 2014. Individuals aged 18-65 years were screened for eligibility based on: travel to hepatitis A and B endemic countries within the past 3 years, awareness of hepatitis A, and/or combined hepatitis A&B vaccines; awareness of their self-reported vaccination status and if vaccinated, vaccination within the last 3 years...
July 2016: Journal of Travel Medicine
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