Compliance with preventive measures against malaria of personnel treated in the centre of international vaccination of the Minister of Defence (Spain).

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Bibliographic Details
Title:	Compliance with preventive measures against malaria of personnel treated in the centre of international vaccination of the Minister of Defence (Spain).
Alternate Title:	Cumplimiento de las medidas preventivas contra la malaria, del personal tratado en el centro de vacunación internacional del Ministerio de Defensa (España).
Authors:	Ajejas Bazán, María Julia^1,2 majejas@ucm.es, Fuentes Mora, Carlos²
Source:	Revista Española de Quimioterapia. Feb2020, Vol. 33 Issue 1, p11-17. 7p.
Subjects:	MALARIA prevention, PATIENT compliance, CHEMOPREVENTION, DRUG side effects, MOSQUITO vectors, PREVENTIVE medicine, MALARIA vaccines
Geographic Terms:	SPAIN
Abstract (English):	Objective. This study evaluated the compliance with preventive measures against malaria of the personnel treated in the Spanish Defence International Vaccination Centre (CVI). Material and methods. A retrospective study was conducted from November to December 2017. The population was 534 individuals. All were treated in CVI, prior to their deployment on endemic areas of malaria, with prevention measures type C and D. A questionnaire of 23 items was elaborated. Results. The percentage of response to the questionnaire was 36.9% (n=194), 100% were male. Air conditioner was the most used protection measure 93.8% (IC 95% 90.4-97.2). Only 35.5% (95% CI: 28.8-42.2) of them, showed good adherence to medication. The factors that influenced in the adherence were the country and the length of deployment. It was not established a direct relationship between the occurrence of adverse reactions and low adherence to treatment. Conclusions. The general protection measures against malaria were met in a high percentage, whilst the use of chemoprophylaxis was very low. These epidemiological data allowed us to know the validity of the health education that is provided in the traveller's care consultation. It also allowed being aware of the possibilities of infection and import of malaria by personnel of the Spanish Armed Forces. The traveller's office will reinforce the importance of taking the adequate chemoprophylaxis trough conferences and informative diptychs. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo. Este estudio evaluó el cumplimiento de las medidas preventivas contra la malaria por parte del personal tratado en el Centro de Vacunación Internacional de la Defensa. Material y métodos. Se realizó un estudio retrospectivo de noviembre a diciembre de 2017. La población era de 534 individuos. Todos fueron tratados en el Centro de Vacunación Internacional, antes de su despliegue en áreas endémicas de malaria, en las que según indicación de la Organización Mundial de la Salud se recomendaba el uso de medidas de prevención tipo C y D. Se elaboró un cuestionario de 23 ítems. Resultados. El porcentaje de respuesta al cuestionario fue del 36,9% (n = 194), el 100% eran hombres. El aire acondicionado fue la medida de protección más utilizada 93,8% (IC 95% 90,4-97,2). Solo el 35,5% (IC 95%: 28,8-42,2) de ellos, mostraron buena adherencia a la medicación. Los factores que influyeron en la adhesión fueron el país y la duración del despliegue. No se estableció una relación directa entre la aparición de reacciones adversas y la baja adherencia al tratamiento. Conclusiones. Las medidas generales de protección contra la malaria se cumplieron en un porcentaje elevado, mientras que el uso de quimioprofilaxis fue bajo. Estos datos epidemiológicos nos permitieron conocer la validez de la educación sanitaria que se brinda en la consulta de atención al viajero. También permitió conocer las posibilidades de infección e importación de malaria por parte del personal de las Fuerzas Armadas Españolas. La ofi- cina del viajero reforzará la importancia de una quimioprofilaxis adecuada a través de conferencias y dípticos informativos. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective. This study evaluated the compliance with preventive measures against malaria of the personnel treated in the Spanish Defence International Vaccination Centre (CVI). Material and methods. A retrospective study was conducted from November to December 2017. The population was 534 individuals. All were treated in CVI, prior to their deployment on endemic areas of malaria, with prevention measures type C and D. A questionnaire of 23 items was elaborated. Results. The percentage of response to the questionnaire was 36.9% (n=194), 100% were male. Air conditioner was the most used protection measure 93.8% (IC 95% 90.4-97.2). Only 35.5% (95% CI: 28.8-42.2) of them, showed good adherence to medication. The factors that influenced in the adherence were the country and the length of deployment. It was not established a direct relationship between the occurrence of adverse reactions and low adherence to treatment. Conclusions. The general protection measures against malaria were met in a high percentage, whilst the use of chemoprophylaxis was very low. These epidemiological data allowed us to know the validity of the health education that is provided in the traveller's care consultation. It also allowed being aware of the possibilities of infection and import of malaria by personnel of the Spanish Armed Forces. The traveller's office will reinforce the importance of taking the adequate chemoprophylaxis trough conferences and informative diptychs. [ABSTRACT FROM AUTHOR]
ISSN:	02143429
DOI:	10.37201/req/063.2019