General practitioners' patterns of treatment of febrile travellers in north Queensland: an exploratory study

Australian Journal of Primary Health
Kajsa L EngströmCaroline M Johansson

Abstract

In north Queensland, recurring epidemics of dengue fever are a public health concern. Each epidemic is initiated by an index case: an infected person arriving from an endemic country or region with dengue activity who then transmits the disease to local mosquitoes. A timely diagnosis of dengue in an index case and notification to public health services is essential to prevent epidemics. This qualitative study explores north Queensland general practitioners' experiences and patterns of treatment of febrile travellers. Individual, semi-structured interviews with 50 general practitioners working in north Queensland were conducted. Analysis of the data resulted in four themes for discussion: characteristics of febrile travellers presenting to local general practitioners, the cost of pathology tests as a barrier to diagnosis, appropriate pathology testing, and notifying tropical public health services. Recommendations from this study point to a need for ongoing education and training for general practitioners in best practice with regards pathology testing for suspected dengue fever cases. As well, there is a need to provide clearer guidelines to general practitioners on when to notify tropical public health services of suspicious d...Continue Reading

References

Jun 9, 2000·The Medical Journal of Australia·C J Allen, M J Ferson
Nov 17, 2004·Journal of Travel Medicine·Gwendolin RopersKlaus Stark
Jan 16, 2009·The Lancet Infectious Diseases·Sally Hargreaves
Oct 14, 2009·Clinical Microbiology Reviews·Byron E E MartinaAlbert D M E Osterhaus
Mar 20, 2010·PLoS Neglected Tropical Diseases·Katherine StandishEva Harris

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Citations

May 25, 2012·The Australian Journal of Rural Health·Caroline Mannestål JohanssonJane Mills
Jun 3, 2015·Journal of Travel Medicine·Simon MorganParker J Magin
Dec 17, 2014·Ecology and Evolution·Lisa A StevensonDavid A Pike

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