Download - Saude do viajante
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Saude do Viajante
Dr Helton S Rosa
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Consulta Pre-Viagem
• Avaliação do RISCO da viagem
– Saude atual
– Historia Medica
– Itinerario
– Expectativas/necessidades do Viajante
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Consulta Pre-Viagem
• Objetivo
– Aconselhamento
– Educação
– Vacinação
– Medicações
Reduçao do risco de doenças e acidentes
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Consulta Pre-Viagem
• Elementos
– Avaliação do risco
– Comunicação do risco
– Gerenciamento do risco
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Avaliação do risco
• Itinerario
– Onde
– Quando
– O que
• Viajante
– Quem
– Porque
– Como
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Itinerario
• Paises, regioes, estados, cidades
• Urbano / rural
• Datas e duração
• Proposito (negocios, férias, VFR, convençao, aventura, etc)
• Meio de transporte (aereo, rodov, trem, navio, a pe)
• Atividades planejadas (escalada, mergulho, etc)
• Acomodação (hotel, casa parente, barraca, etc)
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Dados do Viajante
• Idade, sexo, etnia, procedencia, etc
• Historia vacinal (incl reaçoes adv)
• Historia medica e psiquiatrica (incl imunodepressores)
• Medicamentos (ultimos 3 meses)
• Alergias (pp ovo, latex, fungos, mercurio, timerosal, etc)
• Gravidez e lactação (atual e planos)
• Turismo medico (trat programado)
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Perfil do Viajante
• Experiencia previa
• Percepção de risco
• Bagagem cultural
• Grupo social
• Barreiras (costumes, atitudes vacinas, finanças, crenças, limitaçao linguistica, etc)
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Classificação de Risco do Viajante
• Alto risco
– Imunodeprimidos
– Mulheres gravidas e amamentando
– HAS, diabetes, cardiacos, pneumopatas, etc
– VFR
– Familias com crianças pequenas
– Viajantes para adotar crianças
– idosos
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Comunicação do Risco da Viagem
• Informaçao vacinal
• Folhetos educativos
• Mapas de risco de doenças (ex malaria)
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Plano de gerenciamento do risco
• Vacinação
• Medicações
• Educação preventiva
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Vacinação - rotina
• Difteria
• Hepatite A
• Hepatite B
• Haemophilus
• Herpes zoster
• HPV
• Influenza
• Sarampo
• rubeola
• Meningite
• Parotidite
• Coqueluche
• Pneumococo
• Polio
• Rotavirus
• Tetano
• Catapora
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Relacionadas ao itinerario
• Hepatite A
• Hepatite B
• Encefalite japonesa
• Menigococica
• Polio
• Raiva
• Febre tifoide
• Febre amarela
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Requeridas por Lei (saude intl)
• Febre amarela (MAPA)
• Meningite (peregrinos Arabia Saudita – HAJJ)
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Medicação
• Quimioprofilaxia Malaria – Doxiclina
– Mefloquina
– Cloroquina
– Atovaquona
• Auto tratamento da Malaria
• Auto tratamento da Diarreia dos Viajantes
• Auto medicaçao para cinetose altitudes
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Educaçao preventiva
• D. transmitidas por insetos
• D. transmitidas pelo ar
• D. transmitidas pela agua e alimentos
• Prevençao da raiva por animais
• Efeitos da altitude, poluição, trafego
• Problemas nos voos
• Atividades especificas (aventura, etc)
• DST, drogas
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Conselhos gerais
• Sintomas sentinelas
• Kit de viagem
• Acesso a atenção medica
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