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  • bvmedicalbali@gmail.com

Frequently Asked Questions

Bali Belly or “traveler’s diarrhea” could happen to any visitor and is considered a condition that is rather common. The cause of the infection can be a virus, parasite, or bacteria. You can minimize your risk by practicing the following effective preventive measures:

Do not drink untreated water, including ice cubes in drinks.

Avoid food and beverages from street vendors.

Eat only food that is properly cooked or fruit and vegetables that you can peel yourself.

Do not eat raw or partially cooked fish or shellfish.

Refrigerated drinks, bottled water, wine, and beer are safe without ice. Do not add ice that has been made from tap water.

Note that BVMedical hospitals follow stringent sterilization procedures to ensure that health and safety requirements are maintained to international standards. If your clinical symptoms include diarrhea, nausea, and vomiting or stomach cramping, we suggest you see one of our doctors.

Dengue fever is one of the most common mosquito-borne diseases in Indonesia. These mosquitoes commonly breed in warm, humid weather and in stagnant water. Unlike most mosquitoes, dengue-causing mosquitoes bite during the day.

Dengue infection along with other acute viral illness pose similar features: fever, bone and joint pain with or without skin rash; the rash could be a sign of the beginning of an acute infection or as a sign of a finished infection period.

The blood test for dengue fever is:

Anti Dengue (IgM & IgG)

Dengue NS1 Antigen

Please remember that most acute viral illness are self-limiting disease that has no single cure like an antibiotic for a bacterial infection. The mainstay of treatment is proper hydration by way of sufficient fluid intake and pain management through pain relievers. Note: dengue fever can be prevented with precautions such as mosquito nets at bedtime and repellents.

Provide the patient an allergy badge in Bahasa Indonesia stating what she/he is allergic to and ensure that all restaurant staff are well informed of the food your child will eat. Make sure they are never alone when ordering food and be sure they always bring their epinephrine auto injector.

If they have a severe allergic reaction that causes a problem breathing or fainting, they should be injected immediately. You can give a second dose with five-minute intervals from the first dose if necessary. After the injection, the child should be taken to the hospital immediately.

Severe cases of allergic reaction should be attended to as quickly as possible. If a BVMedical ambulance is called, our paramedics will be prepared with adrenaline/epinephrine medicine.

If you are a sexually active man or woman with a history of unprotected sexual contact you may need screening for sexually transmitted diseases (STDs). A BVMedical doctor will provide advice as to the tests you should take depending on the symptoms you have. STD blood screening tests are as follows:

 HIV

 Hepatitis A

 Hepatitis B

 Hepatitis C

 Herpes

 SSBC (Serviks Test)

 Pap Smear*

 Syphilis (VDRL Test)

 Syphilis (TPHA Test)

 Chlamydia

 Gonorrhea

Women taking a Pap smear test should avoid sexual intercourse for at least three days beforehand and should not take the test during menstrual periods. They should furthermore wait a minimum of seven days after their last day of menstrual cycle and avoid using vaginal suppositories for three days.

BVMedical also provides vaccinations as the prevention for some STDs such as Hepatitis A and Hepatitis B, and HPV Vaccine for women:

 Hepatitis B Vaccine (Engerix B adult)

 Hepatitis A Vaccine (Avaxim Adult)

 Hepatitis A and B Combined (Twinrix)

 HPV Vaccine (Rotarix)

There have been outbreaks of rabies around Bali and it is advised that some people vaccinate themselves if they are frequently amongst stray dogs. Post-exposure treatment, which consists of local nursing and care of the wound,

followed by vaccine therapy (with or without rabies immunoglobulin) should be initiated immediately.

BVMedical follows WHO guidelines for rabies vaccination schedules:

Pre-exposure rabies vaccination is given intramuscularly on day 0, 7, 21 or 28, and the booster is given a year after that.

For post exposure in previously vaccinated patients, the injections will be done on day 1 and 3; booster should be done 1 year and 5 years after for pre and post exposure.

For post exposure in previously un-vaccinated patients, the injections will be done on day 2 (2x injections), day 7 and day 21.

Rabies vaccine is available at BVMedical hospitals under the name ‘Verorab’, manufactured by Sanofi-Pasteur. This vaccine is approved by WHO for pre and post exposure vaccination and contains purified vero cell vaccine (PVRV).

The recommended vaccines for travelling to Indonesia based on the Centers for Disease Control are: Hepatitis A, Hepatitis B, Japanese Encephalitis, Typhoid, Rabies, Tetanus, and Yellow Fever. It is also recommended to have malaria prophylaxis (with antibiotic) if you travel to a malaria endemic area. The yellow fever vaccine is currently not available in our hospital, but if you don’t come from a region with yellow fever you will not need it. Ideally, you require having vaccinations 4-6 weeks before travel, as some vaccinations require multiple doses and an immune reaction time.

Recommended vaccines for infants and children are: BCG, Polio, Hepatitis B, DTP (Diphtheria, Tetanus, Pertussis), MMR (Measles, Mumps, Rubella), HiB (Haemophilus Influenza), Typhoid, Hepatitis A, and Pnemokokus (PCV). Please consult your family doctor as soon as you know when you plan to travel.

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