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Q:

My wife and I love

to travel to exotic

destinations, and

my previous doctor used

to give me antibiotics in

case I got sick in a remote

location. I have a new

primary care physician

who is hesitant to do

this. What does DAN

recommend?

A:

For some time

now prescribing

guidelines regarding

antibiotic use for various

conditions have favored a

much more conservative approach due to increasing

antibiotic resistance. Many illnesses are viral in nature,

and antibiotics are of no benefit in these cases. If you get

sick while traveling, a local physician is your best resource;

he or she will be aware of the common pathogens that

cause problems in the area you are visiting.

When traveling, your best defenses against illness are

handwashing, careful sourcing of water and food, getting

relevant travel immunizations and taking appropriate

precautions in areas where mosquitoes and other living

organisms can transmit infectious diseases to humans.

Talk to your doctor or visit a travel medicine clinic if you

will be going to a region in which medical care is lacking.

The doctor can advise you about any medications you

should take with you and when to use them.

— Scott Smith, EMT-P, DMT

ALERTDIVER.COM

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59

STEPHEN FRINK

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