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The Curbsiders Internal Medicine Podcast
#449 Travel Medicine, Malaria, Traveler’s Diarrhea, Yellow Fever, and more! with Dr. Boghuma Titanji
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.
01:42:52
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Quick takeaways
- Proper malaria chemoprophylaxis involves daily medications like atovacone proguanil, doxycycline, or primaquine, each with specific benefits and considerations for different individuals.
- Preventing traveler's diarrhea includes avoiding tap water, washing fruits and vegetables with boiled water, practicing safe food habits, and considering the severity of symptoms for appropriate antibiotic usage.
Deep dives
Preventing Malaria Using Daily Medications
When traveling to malaria-endemic regions like Sub-Saharan Africa or South Asia, taking daily medications like atovacone proguanil, doxycycline, or primaquine can prevent Plasmodium falciparum infections. Atovacone proguanil inhibits liver stage development and is well-tolerated but not suitable for pregnant individuals. Doxycycline prevents malaria post-liver stage and is ideal for those at risk of tick-borne infections. Primaquine prevents hypnozoites in vivax malaria but requires G6PD testing; adherence is crucial for efficacy.
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