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Adherence to malaria prophylaxis among travelers from a middle-income country

Abstract

INTRODUCTION:

Malaria is the main cause of death by infection among travelers and is preventable through a combination of chemoprophylaxis and personal protective measures.

METHODS:

Travelers were interviewed by phone 28-90 days after returning, to assess adherence to pre-travel advice for malaria prevention.

RESULTS:

A total 57 travelers were included. Adherence to chemoprophylaxis was significantly higher among participants prescribed mefloquine (n=18; 75%) than doxycycline (n=14; 45%). Adherence to mosquito repellent and bed net use was 65% and 67%, respectively.

CONCLUSIONS:

Adherence to malaria prophylaxis was lower than expected. Further studies testing innovative approaches to motivate travelers’ compliance are required.

Keywords:
Travel medicine; Malaria; Prophylaxis; Mefloquine; Doxycycline

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