Travel and Vaccination

  • Kay GrevesonEmail author


Inflammatory bowel disease (IBD) and foreign travel are associated with an increased risk of travel-related morbidity caused through exacerbations of IBD and acquisition of infectious diseases endemic to the destination and availability of healthcare and medicines whilst abroad (Sonnentag and Fritz, J Occup Health Psychol 12:204–221, 2007; Dolnicar et al., Ann Tour Res 39:59–83, 2012). Patients receiving immunosuppressive medication have an increased susceptibility to these infections in addition to an attenuated immune response to vaccinations. Awareness of the issues faced by the traveller with IBD is essential. The nurse working in IBD should be equipped with the knowledge and resources to provide advice, guidance and signpost to relevant organisations in order promote safe and informed travel.

This chapter aims to provide key information and practical guidance to enable effective pretravel advice and support.


Travel Vaccination Infection control 


  1. Coloplast Travel Guide.
  2. Crohn’s and Colitis UK Dehydration Information Sheet.
  3. Dolnicar S, Yanamandram V, Cliff K (2012) The contribution of vacations to quality of life. Ann Tour Res 39(1):59–83CrossRefGoogle Scholar
  4. Ericsson CD (2003) Travellers with pre-existing medical conditions. Int J Antimicrob Agents 21:181–188CrossRefGoogle Scholar
  5. Esteve M, Loras C, Garcia-Planella E (2010) Inflammatory bowel disease in travellers: choosing the right vaccines and check-ups. World J Gastroenterol 17(22):27082714Google Scholar
  6. Goel A, Hill C, Johnson T, Limdi J (2014) Vaccinating patients with IBD-still to begin, at the beginning PTU-060. Gut 63(Suppl 1):A64–A65Google Scholar
  7. Greveson K, Shepherd T, Hamilton M, Woodward S, Norton C, Murray C (2015) Travel health and pre-travel preparation in the inflammatory bowel disease patient. Front GastroenterolGoogle Scholar
  8. Gupta A, Macrae FA, Gibson PR (2009) Vaccination and screening for infections in patients with inflammatory bowel disease: a survey of Australian gastroenterologists. Intern Med J 41(6):462–467CrossRefGoogle Scholar
  9. IBD Passport (2017) IBD Passport charity: evidence-based information and support for people travelling with IBD. Accessed 10 Apr 17
  10. Ileostomy Association Support Website.
  11. National Institute of Allergy and Infectious Disease. Types of vaccinations
  12. Rahier JF, Moutschen M, Van Gompel A et al (2010) Vaccinations in patients with immunemediated inflammatory diseases. Rheumatology 49:1815–1827CrossRefGoogle Scholar
  13. Rahier JF, Magro F, Abreu C et al (2014) Second European evidence based consensus on the prevention, diagnosis and management of opportunistic infections in inflammatory bowel disease. J Crohns Colitis 8:443–468CrossRefGoogle Scholar
  14. Sonnentag S, Fritz C (2007) The recovery experience questionnaire: development and validation of a measure for assessing recuperation and unwinding from work. J Occup Health Psychol 12(3):204–221CrossRefGoogle Scholar
  15. Soonawala D, van Eggermond AM, Fidder H, Visser LG (2012a) Pre-travel preparation and travel-related morbidity in patients with inflammatory bowel disease. Inflamm Bowel Dis 18(11):2079–2085CrossRefGoogle Scholar
  16. Soonawala D, van Eggermond AM, Fidder H, Visser LG (2012b) Pretravel preparation and travel-related morbidity in patients with inflammatory bowel disease. Inflamm Bowel Dis 18(11):2079–2085CrossRefGoogle Scholar
  17. Spira AM (2003) Preparing the traveller. Lancet 361:1368–1368CrossRefGoogle Scholar
  18. The Oley Foundation.
  19. Wasan SK, Baker SE, Skolnik PR (2010) A practical guide to vaccinating the inflammatory bowel disease patient. Am J Gastroenterol 105:1231–1238CrossRefGoogle Scholar
  20. Wasan SK, coukos JA, Farraye FA (2011) Vaccinating the inflammatory bowel disease patient: deficiencies in gastroenterologists knowledge. Inflamm Bowel Dis 17(12):2536–2560CrossRefGoogle Scholar
  21. Wasan SK, Calderwood AH, Long M et al (2014) Immunisation rates and vaccine beliefs among patients with inflammatory bowel disease: an opportunity for improvement. Inflamm Bowel Dis 20:246–250CrossRefGoogle Scholar
  22. Yeung JH, Goodman KJ, Fedorak RN (2011) Inadequate knowledge of immunisation guidelines: a missed opportunity for preventing infection in immunocompromised IBD patients. Inflamm Bowel Dis 18:34–40CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Lead Inflammatory Bowel Disease Clinical Nurse Specialist, Royal Free London NHS Foundation TrustLondonUK

Personalised recommendations