The Curbsiders Internal Medicine Podcast #449 Travel Medicine, Malaria, Traveler’s Diarrhea, Yellow Fever, and more! with Dr. Boghuma Titanji
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Jul 15, 2024 Dr. Boghuma Titanji shares insights on Travel Medicine, covering topics like malaria, traveler's diarrhea, yellow fever, and vaccination guidance. Discussions include mosquito avoidance, food safety, treating diarrhea, and yellow fever vaccine details. The importance of understanding travel history, malaria prevention, and travel health tips are also highlighted.
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Use Multiple Mosquito Avoidance Measures
- Do emphasize mosquito avoidance: use insect repellent, long sleeves, insecticide-treated bed nets, and screens; mosquitoes can bite any time in the tropics.
- Titanji warns don't rely on 'nighttime only' messaging—bites occur day and night.
Avoid Tap Water And Raw Street Food
- Do avoid tap water and raw/unclean street food in areas with uncertain sanitation; use bottled or boiled water and wash produce with boiled water.
- Titanji advises boiling tap water 10 minutes for safe washing and avoiding raw street food like viche.
Treat Travelers Diarrhea Only When Moderate Or Severe
- Do reserve antibiotics for moderate to severe travelers' diarrhea or dysentery; first-line is azithromycin with quinolones as backup due to rising resistance.
- Titanji recommends carrying azithromycin single 1 g dose (or split) or 500 mg Q12h quinolones if needed.