Vol 69, No 1 (2018)
Review article
Published online: 2018-03-28

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The paediatric traveller

Krzysztof Korzeniewski1
Pubmed: 29611617
IMH 2018;69(1):70-74.


International travel with children, which is the opportunity for the family to see the world together, has become commonplace. If you are travelling with children the journey needs to be carefully planned, especially in cases of visiting a region with harsh environment or poor sanitation. It is particularly important in terms of thermoregulation (hot climate) and the immune system (protection against pathogens causing infectious and invasive diseases) as these are not fully developed in small children. In addition, it is important to maintain appropriate safety and security measures in the destination area (e.g. using child car seats during drive, supervising children during recreational activities in water and on land, avoiding contact with undomesticated animals). Moreover, it is essential to prepare a travel health kit containing drugs appropriate for young travellers — matched for their age and body weight, and to purchase personal prevention products for everyday use (sunscreen with a high sun protection factor, insect repellents, etc.).

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  1. Summer AP, Fischer PR. The Pediatric and Adolescent Traveler. In: Keystone JS, Freedman DO, Kozarsky PE, Connor BA, Nothdurft HD. ed. Travel Medicine. 3rd Edition. Elsevier Saunders 2013: 231–240.
  2. Jaeger VK, Tschudi N, Rüegg R, et al. The elderly, the young and the pregnant traveler -- A retrospective data analysis from a large Swiss Travel Center with a special focus on malaria prophylaxis and yellow fever vaccination. Travel Med Infect Dis. 2015; 13(6): 475–484.
  3. Stauffer W, Christenson JC, Fischer PR. Preparing children for international travel. Travel Med Infect Dis. 2008; 6(3): 101–113.
  4. Summer AP, Fischer PR. Travel with infants and children. Clin Fam Pract. 2005; 7: 729–743.
  5. Udomittipong K, Stick SM, Verheggen M, et al. Pre-flight testing of preterm infants with neonatal lung disease: a retrospective review. Thorax. 2006; 61(4): 343–347.
  6. Korzeniewski K. Medycyna podróży. Kompendium. PZWL, Warszawa 2016.
  7. Durbin DR. Committee on Injury, Violence, and Poison Prevention. Child passenger safety. Pediatrics. 2011; 127(4): e1050–e1066.
  8. Takahashi M, Ogata M, Miura M. The significance of motion sickness in the vestibular system. J Vestib Res. 1997; 7(2-3): 179–187.
  9. Diffey BL. When should sunscreen be reapplied? J Am Acad Dermatol. 2001; 45(6): 882–885.
  10. Greenwood CS, Greenwood NP, Fischer PR. Immunization issues in pediatric travelers. Expert Rev Vaccines. 2008; 7(5): 651–661.
  11. Rongkavilit C. Immunization for pediatric international travelers. Pediatr Ann. 2011; 40(7): 346–350.
  12. Weiberg N, Weinberg MS, Maloney SA. International Travel with Infants & Children. In: Brunette GW. ed. CDC Yellow Book 2018. Health Information for International Travel. Oxford University Press, New York 2017.
  13. Qiu H, Jun HW, McCall JW. Pharmacokinetics, formulation, and safety of insect repellent N,N-diethyl-3-methylbenzamide (deet): a review. J Am Mosq Control Assoc. 1998; 14(1): 12–27.
  14. Fradin MS, Day JF. Comparative efficacy of insect repellents against mosquito bites. N Engl J Med. 2002; 347(1): 13–18.
  15. Osimitz TG, Murphy JV, Fell LA, et al. Adverse events associated with the use of insect repellents containing N,N-diethyl-m-toluamide (DEET). Regul Toxicol Pharmacol. 2010; 56(1): 93–99.
  16. Fischer PR, Bialek R. Prevention of malaria in children. Clin Infect Dis. 2002; 34(4): 493–498.
  17. Schlagenhauf P, Adamcova M, Regep L, et al. Use of mefloquine in children - a review of dosage, pharmacokinetics and tolerability data. Malar J. 2011; 10: 292.
  18. Stauffer WM, Konop RJ, Kamat D. Traveling with infants and young children. Part III: travelers' diarrhea. J Travel Med. 2002; 9(3): 141–150.
  19. Grady RW. Systemic quinolone antibiotics in children: a review of the use and safety. Expert Opin Drug Saf. 2005; 4(4): 623–630.