Preventing malaria in international travellers: an evaluation of published English-language guidelines

Article English OPEN
Kliner, Merav ; Poole, Kristina ; Sinclair, David ; Garner, Paul (2014)
  • Publisher: BioMed Central
  • Journal: BMC Public Health (vol: 14)
  • Related identifiers: pmc: PMC4226897, doi: 10.1186/1471-2458-14-1129
  • Subject: wc_750 | Research Article | Travellers | Chemoprophylaxis | wa_108 | Malaria | wc_765 | Prevention | Public Health, Environmental and Occupational Health

Background People intending to travel may seek information on malaria prevention from a range of sources. To ensure the best protection, this information needs to be reliable, up-to-date, consistent, and useful to their decision making. This study appraises current international and national guidelines written in English for malaria prevention in travellers, and whether any recommendations conflict. Methods We systematically identified national or international English-language guidelines on malaria prevention in travellers to July 2013 using standard and multiple searching methods. We critically appraised guidelines using the AGREE II tool, and report inconsistent recommendations within guidelines. Results We identified five sets of English-language guidelines on preventing malaria for travellers. Assessment against AGREE II indicate that all of the guidelines fall short of internationally accepted standards in guideline development: none include a transparent description of methods; only one describes sources of funding or potential conflicts of interest; and only one includes formal presentation of the evidence alongside transparent assessment of the quality of that evidence. There were a number of important discrepancies between guidelines, and some omit information about effectiveness, safety and adverse effects of chemoprophylaxis options. Conclusions The methods used for developing guidelines for malaria prevention in travellers lags behind current internationally recognized standards. Healthcare professionals as well as travellers themselves could be better informed if guidelines were more systematic and transparent summaries of the current knowledge on drug interventions in relation to effects, safety, administration and contra-indications. Electronic supplementary material The online version of this article (doi:10.1186/1471-2458-14-1129) contains supplementary material, which is available to authorized users.
  • References (16)
    16 references, page 1 of 2

    1. Health Protection Agency: Malaria imported into the United Kingdom in 2011: implications for those advising travellers. Health Prot Rep 2012, 6(17):3-6.

    2. Bazaz R, Green E, Green ST: Quality of malaria information provided on Internet travel operator websites. Travel Med Infect Dis 2010, 8:285-291.

    3. National Institute for Health and Care Excellence. About clinical guidelines. http://www.nice.org.uk/aboutnice/whatwedo/aboutclinicalguidelines/ about_clinical_guidelines.jsp.

    4. AGREE II: http://www.agreetrust.org/.

    5. World Health Organisation: International travel and health. Geneva: World Health Organisation; 2012.

    6. Public Health Agency of Canada: Canadian Recommendations for the Prevention and Treatment of Malaria Among International Travellers. CCDR 2008, 34(S3):1-45.

    7. Centre for Health Protection: Scientific Committee on Vector-borne Diseases: Guidelines on malaria chemoprophylaxis for travellers from Hong Kong. Hong Kong: Department of Health Protection, Department of Health, Hong Kong Special Administrative Region, Hong Kong; 2007.

    8. Public Health England: Guidelines for malaria prevention in travellers from the UK. Public Health England 2013. Accessed at https://www.gov.uk/ government/publications/malaria-prevention-guidelines-for-travellers-fromthe-uk on 27/10/14, Published 29/7/14.

    9. Arguin PM, Tan KR: Malaria. In Yellow Book, Centers for Disease Control and Prevention (CDC). Atlanta: Georgia; 2013.

    10. BPAC NZ: Providing medical advice to travellers. BPJ 2011, 41:30-39.

  • Metrics
    No metrics available
Share - Bookmark