Last-Minute Traveler Consultation Quiz

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Questions and Answers

When is a last-minute traveler (LMT) typically defined as departing for an international destination?

≤1 week before departure

≤2 weeks before departure (correct)

≤3 weeks before departure

≤4 weeks before departure

What percentage of a clinic population do last-minute travelers (LMTs) reportedly comprise?

20%

16% (correct)

10%

What are some examples of last-minute travelers (LMTs) mentioned in the text?

Medical professionals and volunteers

Long-term planners and vacationers

Tourists and sightseers

Business travelers, students, and relief workers (correct)

What challenges do clinicians face when delivering pretravel services to last-minute travelers (LMTs)?

Limited time for a single encounter Signup and view all the answers

What is the advantage of the revised 2-dose preexposure regimen for rabies vaccination?

It is less expensive and easier to complete before travel Signup and view all the answers

What is the recommendation for travelers with sustained risk for rabies exposure who have completed the 2-dose preexposure regimen?

Have a titer drawn or receive a third dose of vaccine within 3 years Signup and view all the answers

What is the recommendation for travelers who started but did not complete a rabies preexposure vaccination series and had a potential rabies exposure?

Provide the same postexposure prophylaxis as for a completely unimmunized person Signup and view all the answers

What vaccine is required for adults and children traveling to Saudi Arabia for religious pilgrimage?

Meningococcal Quadrivalent (ACWY) vaccine Signup and view all the answers

What is the Centers for Disease Control and Prevention (CDC) advising all eligible international travelers to be up to date with before travel?

COVID-19 vaccination (primary series and booster[s]) Signup and view all the answers

For which group of travelers is the option to receive the rabies vaccine series at their destination warranted?

Longer-stay travelers Signup and view all the answers

What is the recommendation for last-minute travelers (LMTs) who cannot complete the full primary vaccine series one week before travel?

Adhere strictly to insect precautions Signup and view all the answers

What is the advantage of the shortened schedule of 2 doses of Heplisav-B vaccine for adults?

It requires fewer doses and has a shorter time span Signup and view all the answers

What should clinicians do for LMTs with imminent exposure (e.g., disaster relief workers) in terms of hepatitis B vaccination?

Use the accelerated vaccination schedule with Twinrix Signup and view all the answers

What is the recommendation for last-minute travelers with sustained risk for rabies exposure who have completed the 2-dose preexposure regimen?

Take specific preventive behavior measures as advised by healthcare professionals Signup and view all the answers

What vaccines are typically received by most travelers who attended school in the United States?

Routine vaccinations as children according to ACIP schedules Signup and view all the answers

What is recommended for travelers who are not up to date on vaccinations?

Provide first or additional vaccine doses according to ACIP schedules Signup and view all the answers

Which vaccine should be considered for LMTs who need protection against cholera?

Hepatitis A (monovalent) vaccine Signup and view all the answers

What is the approved schedule for Japanese encephalitis (JE) vaccination for last-minute travelers in the United States?

(0, 7 days) Signup and view all the answers

What should be arranged for short-term travelers who receive an accelerated vaccination schedule and need to complete the series?

(Combination) Hepatitis A and hepatitis B vaccine completion at their destination Signup and view all the answers

"Carefully evaluate the need for these vaccines, factoring in destination, incidence, and disease severity" refers to which type of vaccines?

Hepatitis B, Japanese encephalitis (JE), or rabies vaccines Signup and view all the answers

What should travelers be aware of regarding vaccines received in some countries?

Vaccines received in some countries might be of substandard quality Signup and view all the answers

Study Notes

Last-Minute Travelers (LMT) Overview

LMTs are typically defined as travelers departing for international destinations within two weeks of departure.
Last-minute travelers comprise approximately 10-20% of a clinic's population.

Examples and Challenges

Examples of LMTs include individuals traveling for disaster relief, business, or family visits.
Clinicians face challenges such as limited time for vaccinations, incomplete immunization records, and urgent health advice requirements.

Rabies Vaccination Recommendations

The revised 2-dose preexposure regimen for rabies vaccination reduces the number of doses required, ensuring quicker protection.
For travelers with sustained rabies exposure risk who completed the 2-dose regimen, postexposure prophylaxis is recommended without the need for additional doses.
Travelers who began but did not finish a rabies preexposure vaccination series, and had potential rabies exposure, should receive the full postexposure prophylaxis immediately.

Travel Health Requirements

Adults and children traveling to Saudi Arabia for religious pilgrimage are required to receive the meningococcal vaccine.
The CDC advises all eligible international travelers to be up to date on vaccinations before travel.

Vaccination Guidance for Specific Travelers

The option to receive the rabies vaccine series at the destination is warranted for travelers planning to stay in high-risk areas.
Last-minute travelers who cannot complete the full primary vaccine series one week before travel should receive available doses as soon as possible.

Hepatitis B and Cholera Vaccination

The Heplisav-B vaccine offers a shortened schedule with only 2 doses required, beneficial for adults needing Hepatitis B protection quickly.
Clinicians should ensure immediate vaccination for LMTs with imminent exposure, like disaster relief workers.

General Vaccine Recommendations

Most travelers educated in the United States typically receive vaccines such as MMR (measles, mumps, rubella), DTaP (diphtheria, tetanus, pertussis).
Travelers not up to date on vaccinations should receive necessary vaccines and boosters based on their travel destinations.

Cholera and Japanese Encephalitis Vaccination

The cholera vaccine should be considered for LMTs traveling to high-risk areas for cholera outbreaks.
The approved schedule for Japanese encephalitis (JE) vaccination for last-minute travelers in the U.S. is a 2-dose series administered 28 days apart.

Vaccine Considerations

The advice "Carefully evaluate the need for these vaccines, factoring in destination, incidence, and disease severity" pertains to travel-related vaccinations.
Travelers should be aware that vaccines received in some countries may not be recognized or accepted in their home countries, potentially affecting their travel plans.

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Description

Test your knowledge about last-minute traveler (LMT) pretravel consultations, including the recommended timeframe for accessing pretravel care, services provided by clinicians, and the characteristics of last-minute travelers according to the World Health Organization.