Posts: 3,675,933
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
this question will help you know the region for immunization, by completing these ques, u r done with immunization going overseas....
A 42-year-old male executive who works for a multinational company will be flying to several countries in Asia over a 2-week period. He has not traveled overseas before. His past medical history is significant for mild hypertension, for which he takes medication, and for a splenectomy that he underwent for njuries from an automobile accident. He had routine childhood immunizations, but he has received none since. The itinerary for his business trip includes 4 days in India, 5 days in Singapore, and 3 days in Malaysia.
Which of the following would NOT be recommended for this patient?
A. Hepatitis A vaccination
B. Meningococcal vaccination
C. Yellow fever vaccination
D. Malaria prophylaxis
E. Tetanus booster
Posts: 3,675,933
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
Yellow fever is endemic in Africa and South America but not in Asia, and therefore, yellow
fever vaccination is not recommended for this person. Medical consultation for travel
should be obtained at least 1 month before travel to allow for immunizations. A travel itinerary
and a general medical history should be obtained to define pertinent underlying
medical conditions. Hepatitis A is the most common preventable acquired infection
among travelers, and therefore, hepatitis A vaccine should be offered. Because this patient
has undergone a splenectomy, meningococcal vaccination should be recommended
because he is predisposed to more severe infections with encapsulated bacteria, specifically,
more severe babesiosis or malaria. Malaria is a risk for travelers in this area of the world,
and therefore, chemoprophylaxis is recommended. A tetanus-diphtheria booster should be
administered every 10 years, and boosters should be administered before travel.
(Answer: C-Yellow fever vaccination).
