Hepatitis B (69%), flu (14%), and measles–mumps–rubella (5%) vaccines were considered debatable. Rabies (14%), meningitis (7%), tuberculosis (9%), and Japanese encephalitis (18%) were considered inappropriate. Yellow fever vaccination (19%) was considered an incorrect answer (because there is no particular risk of exposure in Thailand). An expert opinion would have been requested by 22% of PCPs. Appropriate malaria chemoprophylaxis was mefloquine (20%) or atovaquone + proguanil (51%) or doxycycline (21%). Inappropriate protection would have been prescribed by 13%, with 1% prescribing chloroquine
and 12% chloroquine + proguanil. ABT-888 molecular weight Five percent of PCPs chose not to use chemoprophylaxis. An expert opinion would have been requested by 28% of PCPs. The three pieces of priority advice were water hygiene recommendations (81%), hand
hygiene recommendations (65%), and use of condoms (77%). The participating PCPs mostly answered correctly. In contrast with the previous case, only 30% of PCPs would have recommended “repatriation insurance” to this young patient, despite his traveling alone in a country where casualties are frequent. An expert opinion would have been requested by 15% of PCPs. The correct answers for vaccine recommendations were hepatitis A (91%), typhoid (78%), diphtheria–tetanus–poliomyelitis (93%), hepatitis B (92%), yellow fever (51%), and rabies (29%). Tuberculosis (14%) and the measles–mumps–rubella
(19%) vaccines were considered a debatable choice. Meningitis (13%) and flu Baf-A1 (7%) were considered inappropriate answers. The Japanese encephalitis (2%) vaccine and no vaccine recommendation at all (0%) were considered incorrect answers. An expert opinion would have been requested by 25% of PCPs. Appropriate malaria chemoprophylaxis was mefloquine (17%) or atovaquone + proguanil (35%) or doxycycline (11%). Inappropriate protection would have been prescribed by 14% Urease of PCPs, with 9% prescribing chloroquine and 5% prescribing chloroquine + proguanil. Twenty-three percent of PCPs chose not to administer chemoprophylaxis. An expert opinion would have been requested by 24% of PCPs. Scores obtained on the MCQ ranged from 0 to 15 and their distribution is presented in Figure 1. After univariate statistical analysis, 10 variables were associated with a better score for PCPs (Table 4). After multivariate logistic regression, three variables remained associated with a better score: proximity of a vaccination center (p = 0.001), motivation score (p = 0.004), and absence of expert consultation for malaria prophylaxis (p = 0.007) (Table 5). Table 6 presents the statistical link between the MCQ score and the motivation score. The aim of this observational survey was to investigate travel medicine practices in our area and to describe the level of the physicians’ specific knowledge of travel medicine.