[Travel medicine for HIV-infected patients]

Ther Umsch. 2001 Jun;58(6):381-6. doi: 10.1024/0040-5930.58.6.381.
[Article in German]

Abstract

Many HIV-infected persons travel from temperate zones to (sub)tropical destinations. HIV-specific immigration issues, medical resources abroad and problems regarding travelling with multiple medications have to be anticipated. When prescribing immunizations and specific chemoprophylaxis, the stage of immunodeficiency as well as drug interactions with antiretrovirals and medicaments against opportunistic infections have to be taken into account. Live vaccines may be contraindicated. Immunocompromised HIV-infected travellers have a higher risk for serious courses of diseases by enteropathogens. Therefore a good information about food hygiene is important and a prescription of an antibiotic to take in case of severe diarrhea may be indicated. A new antiretroviral combination therapy should not be started immediately before travelling to the tropics. The possibility to continue an established HIV treatment during travel has to be evaluated cautiously. With good pre-travel advice the risk of severe health problems is low for most HIV-infected travellers.

Publication types

  • English Abstract
  • Review

MeSH terms

  • AIDS-Related Opportunistic Infections / prevention & control*
  • Anti-HIV Agents / adverse effects
  • Anti-HIV Agents / pharmacology*
  • Antibiotic Prophylaxis
  • HIV Infections / complications*
  • Humans
  • Immune Tolerance*
  • Practice Guidelines as Topic
  • Primary Prevention
  • Switzerland
  • Travel*
  • Vaccination*

Substances

  • Anti-HIV Agents