title: [Evaluation of pre-travel prevention and morbidity in child travelers].
abstract: International travel is growing, but few data exist on prevention for children traveling. The aim of this study was to describe a population of children traveling from France to countries outside Europe and to evaluate the quality of prevention and healthcare services provided for these travelers.
  
  
  METHODS
  We conducted a retrospective epidemiological study in three pediatric emergency departments in Paris from August to October 2009 and 2012. Data were collected retrospectively from anonymous questionnaires proposed to families consulting emergency services, irrespective of their reason, who had recently traveled (in the year preceding travel outside the European Union).
  
  
  RESULTS
  Of the 166 children included, who for the most part had traveled to visit relatives and friends in Sub-Saharan Africa and North Africa, 76% of their families were from the destination countries, 78% had received prevention counseling, mostly with their doctor. They had been vaccinated against yellow fever, but the hepatitis A vaccine was neglected. The preventive measures had been difficult to achieve in practice. During travel, 54% of children had health problems (39% diarrhea, 29% vomiting, 31% fever) prompting medical care in 28%, 5% were admitted to a hospital, and 4% had return to France earlier than planned. In epidemic areas, 13% of children had malaria.
  
  
  CONCLUSIONS
  There is poor counseling on basic prevention (hygiene, diarrhea, malaria, immunization). Time constraints in pediatricians and competing priorities could explain this problem. The challenge for healthcare providers to reduce these pathologies is to provide services of sufficient quality and clarity. All medical stakeholders have an important role to play.
authors.affiliation: Service des urgences pédiatriques, hôpital A.-Trousseau, AP-HP, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Brigot-Rotenberg
authors.affiliation: Service de pédiatrie générale, hôpital A.-Trousseau, AP-HP, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Quinet
authors.affiliation: Service des soins intensifs, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvre, 75015 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Moulin
authors.affiliation: Service de pédiatrie générale et des urgences, hôpital André-Grégoire, 56, boulevard de la Boissière, 93100 Montreuil, France.
authors.forename: M
authors.initials: M
authors.lastname: Aurel
authors.affiliation: Service des urgences pédiatriques, hôpital A.-Trousseau, AP-HP, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France; Inserm U1153, Sorbonne universités, UP-MC université, 75006 Paris France.
authors.forename: R
authors.initials: R
authors.lastname: Carbajal
authors.affiliation: Service des urgences pédiatriques, hôpital A.-Trousseau, AP-HP, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France. Electronic address: nathalie.desuremain@trs.aphp.fr.
authors.forename: N
authors.initials: N
authors.lastname: De Suremain
mesh_terms: D000349:Africa; D002662:Child Health Services / Q000706:statistics & numerical data; D002675:Child, Preschool; D006801:Humans; D011314:Preventive Health Services / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014195:Travel; D014611:Vaccination