Download PDF
Flugmedizin · Tropenmedizin · Reisemedizin - FTR 2014; 21(3): 133-137
DOI: 10.1055/s-0034-1384209
Reisemedizin
© Georg Thieme Verlag Stuttgart · New York

Medizinische Aspekte des Dschungeltrekkings – Präventive Maßnahmen und Therapien während der Reise

Medical aspects in jungle trekking – preventive measures and treatment during a trip
Fritz G. E Holst
1   Tropen- und Reisemedizinisches Zentrum Marburg (Leitung: Dr. Fritz Holst)
› Author Affiliations
Further Information

Publication History

Publication Date:
23 June 2014 (online)

Also available at
    Permissions and Reprints

Ein längeres Trekking durch den tropischen Regenwald ist alleine schon wegen der Belastung durch Hitze, Nässe und unbequemen Schlafplätzen eine Herausforderung, der sich aber immer mehr Touristen stellen. Neben zahlreichen Tropenerkrankungen kann man mit einer lästigen, aber auch potenziell gefährlichen Dschungelfauna Bekanntschaft machen: Schmetterlingsraupen, Tausendfüßler, Ameisen, Fliegenmaden, Milben, Sandflöhe, Blutegel und Giftschlangen. Zur Wasseraufbereitung haben sich Filtersysteme, Halogene in Form von Tabletten oder künstliches UV-Licht bewährt. Die reisemedizinische Beratung umfasst alle impfpräventablen Erkrankungen, eine medikamentöse Malariavorbeugung in Hochrisikogebieten und eine maximale Vektorprophylaxe.

More and more tourists undertake long jungle treks, which may be a challenge because of the heat, humidity and uncomfortable sleeping places. Along with many tropical diseases the traveler may encounter an irritating and potentially dangerous jungle fauna: caterpillars, millipedes, ants, maggots, sandfleas, mites, leeches and poisonous snakes. Water purification is best performed with filter systems, halogen-tablets or ozone-light. Travel advice comprises all vaccination-preventable diseases, chemoprophylaxis against malaria in high risk regions and maximal vector prophylaxis.

Key words

jungle trekking - wilderness medicine - dangerous jungle fauna
 

  • Literatur

  • 1 Walden J. Jungle travel and survival. In: Auerbach PS, ed. Wilderness Medicine. 6th ed. Philadelphia: Mosby Elsevier; 2012: 815-837
    Google Scholar
  • 2 Shaw MT, Leggat PA. Life and death on the Amazon: illness and injury to travelers on a South American expedition. J Travel Med 2003; 10: 268-271
    Google Scholar
  • 3 Goodyer LI, Croft AM, Frances SP et al. Expert review of the evidence base for arthropod bite avoidance. J Travel Med 2010; 17: 182-192
    CrossrefGoogle Scholar
  • 4 Houzé S, Boutron I, Marmorat A et al. Performance of rapid diagnostic tests for imported malaria in clinical practice: results of a national multicenter study. PLoS One 2013; 8
    Google Scholar
  • 5 Holst FGE. Wilderness-Medizin. In: Jelinek T, Hrsg. Kursbuch Reisemedizin. Stuttgart: Thieme; 2012: 268-278
    Article in Thieme ConnectGoogle Scholar
  • 6 Bobak DA, Auerbach PS. Travel-related health concerns associated with extremes of environment. In: Guerrant RL, Walker DH, Weller PF, eds. Tropical Infectious Diseases. 2nd ed. Philadelphia: Elsevier; 2006: 1685-1699
    Google Scholar
  • 7 Holst FGE. Medizinische Aspekte des Wüstentrekkings. Flug u Reisemed 2011; 18: 123-127
    Article in Thieme ConnectGoogle Scholar
  • 8 Hori S. Adaptation to heat. Jpn J Physiol 1995; 45: 921-946
    CrossrefGoogle Scholar
  • 9 Medema GJ, Schets FM, Teunis PF, Havelaar AH. Sedimentation of free and attached Cryptosporidium oocysts and Giardia cysts in water. Appl Environ Microbiol 1998; 64: 4460-4466
    Google Scholar
  • 10 Korich DG, Mead JR, Madore MS et al. Effects of ozone, chlorine dioxide, chlorine, and monochloramine on Cryptosporidium parvum oocyst viability. Appl Environ Microbiol 1990; 56: 1423-1428
    Google Scholar
  • 11 Backer HD. Field water disinfection. In: Auerbach PS, ed. Wilderness Medicine. 6th ed. Philadelphia: Mosby Elsevier; 2012: 1324-1359
    Google Scholar
  • 12 Diaz JH. The evolving global epidemiology, syndromic classification, management, and prevention of caterpillar envenoming. Am J Trop Med Hyg 2005; 72: 347-357
    Google Scholar
  • 13 Arocha-Piñango CL, de Bosch NB, Torres A et al. Six new cases of a caterpillar-induced bleeding syndrome. Thromb Haemost 1992; 67: 402-407
    Google Scholar
  • 14 Dinehart SM, Archer ME, Wolf Jr JE et al. Caripito itch: dermatitis from contact with Hylesia moths. J Am Acad Dermatol 1985; 13: 743-747
    CrossrefGoogle Scholar
  • 15 Hendrickson RG. Millipede exposure. Clin Toxicol (Phila) 2005; 43: 211-212
    Google Scholar
  • 16 Erickson TB. Arthropod envenomation and parasitism. In: Auerbach PS, ed. Wilderness Medicine. 6th ed. Philadelphia: Mosby Elsevier; 2012: 925-954
    Google Scholar
  • 17 White GB. Medical acarology and entomology. In: Cook GC, ed. Manson's Tropical Diseases. 20th ed. Philadelphia: WB Saunders; 1996: 1650-1763
    Google Scholar
  • 18 Pereyra-Rodríguez JJ, Bernabeu-Wittel J, Conejo-Mir MD et al. Treatment of cutaneous myiasis associated with scalp psoriasis in a 13-year-old girl with oral ivermectin. J Am Acad Dermatol 2010; 63: 908-909
    Google Scholar
  • 19 Maeyens E. Aquatic skin disorders. In: Auerbach PS, ed. Wilderness Medicine. 6th ed. Philadelphia: Mosby Elsevier; 2012: 1646-1666
    Google Scholar
  • 20 Junghanss T, Bodio M. Medically important venomous animals: biology, prevention, first aid, and clinical management. Clin Infect Dis 2006; 43: 1309-1317
    CrossrefGoogle Scholar
  • 21 Mebs D. Vergiftungen nach Schlangenbiss. Flug u Reisemed 2013; 20: 123-127
    Article in Thieme ConnectGoogle Scholar
  • 22 Mulford JS, Oberli H, Tovosia S. Coconut palm-related injuries in the Pacific Islands. ANZ J Surg 2001; 71: 32-34
    CrossrefGoogle Scholar