title: [Evaluation of pre-travel prevention, except vaccination, in children returning from Africa with fever].
abstract: OBJECTIVE
  Evaluating the frequency and modalities of transmissible infection prevention counseling in children before a stay in tropical or subtropical areas.
  
  
  METHODS
  Description of the frequency and modalities of transmissible infection prevention counseling (except specific vaccination) given prior to travel in children attending a tertiary care center in Paris, France, for fever occurring within 3 months following a return from Africa. Data were collected retrospectively from medical observations and telephone interviews with parents.
  
  
  RESULTS
  A total of 173 children were included; 98 and 75 returned from sub-Saharan Africa and North Africa, respectively. Forty-one percent were less than 2 years old. Eighty-one percent of the children had consulted before leaving. Among children who returned from North Africa, the proportion of children who had a specific preventive consultation before travel was lower than among children who returned from sub-Saharan Africa (respectively, 72.1% versus 94.7%; p<0.001). In children having consulted before traveling, specific hygiene and diet advice had been given in 72% of cases but less frequently in children who traveled in North Africa compared to children who traveled to sub-Saharan Africa (respectively, 57.8% vs. 92.2%; p<0.001). Among children who returned from North Africa, those who had no preventive consultation before travel had febrile gastrointestinal infection more frequently than those who had a consultation before traveling (p=0.003).
  
  
  CONCLUSIONS
  Although in this study the majority of children traveling to Africa receive transmissible infection prevention counseling before the travel, prevention could be improved, particularly before a stay in North Africa.
authors.affiliation: Service d'hématologie pédiatrique, hôpital Robert-Debré, université Denis-Diderot Paris, Assistance publique-Hôpitaux de Paris, France. seror.je@laposte.net
authors.forename: E
authors.initials: E
authors.lastname: Seror
authors.forename: R
authors.initials: R
authors.lastname: Blondé
authors.forename: J
authors.initials: J
authors.lastname: Naudin
authors.forename: P
authors.initials: P
authors.lastname: Armoogum
authors.forename: F
authors.initials: F
authors.lastname: Angoulvant
authors.forename: A
authors.initials: A
authors.lastname: De Lauzanne
authors.forename: M
authors.initials: M
authors.lastname: Lorrot
authors.forename: L
authors.initials: L
authors.lastname: Pull
authors.forename: J-C
authors.initials: JC
authors.lastname: Mercier
authors.forename: A
authors.initials: A
authors.lastname: Bourrillon
authors.forename: C
authors.initials: C
authors.lastname: Alberti
authors.forename: A
authors.initials: A
authors.lastname: Faye
mesh_terms: D017954:Africa South of the Sahara; D000352:Africa, Northern; D000465:Algorithms; D002675:Child, Preschool; D037001:Directive Counseling / Q000706:statistics & numerical data; D005334:Fever; D005602:France / Q000453:epidemiology; D005767:Gastrointestinal Diseases / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D007223:Infant; D017053:Infection Control; D011159:Population Surveillance; D011322:Primary Prevention / Q000379:methods; D011795:Surveys and Questionnaires; D014195:Travel; D014611:Vaccination