n CME : Your SA Journal of CPD - The immune-compromised traveller : main topic




The population of people living with acquired immune deficiency is burgeoning. <br>Immune compromised patients should be stable on therapy and receive routine prophylaxis against opportunistic infections before travel. <br>Assessment of the level of immune compromise is essential before immunisation. <br>Severely immune-suppressed patients must not be given live vaccines - an official waiver letter should be issued for countries requiring yellow fever vaccination. <br>Severely immune-suppressed patients respond poorly to active immunisation - where possible passive immunisation should be given. <br>Enteric pathogens that are invasive or associated with chronic diarrhoea can cause severe morbidity in immunecompromised patients. <br>Many countries discriminate against HIV-infected travellers.


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