Document Detail

Correlation between adherence to precautions issued by the WHO and diarrhea among long-term travelers to India.
MedLine Citation:
PMID:  16256046     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Travelers' diarrhea is the most common infectious disease afflicting travelers to developing countries. Most studies investigating the benefits of recommendations regarding the consumption of food and water have focused on short-term travelers. We investigated the benefits of adherence to the precautions from the World Health Organization (WHO) among long-term travelers. METHODS: We asked 140 incidental travelers in India traveling for at least 2 months to complete a questionnaire about their adherence to the WHO precautions and the occurrence of diarrhea. Adherence was graded on a scale of 1 to 6 (least to most). RESULTS: The mean age of the 114 travelers whose questionnaires were eligible was 26.6 +/- 5.7 years, and the median duration of their trip was 5 months. None of them adhered strictly to the entire set of rules. The mean individual adherence was 3.4 (range 1.2-5.8). The vast majority of the travelers (83%) suffered from diarrhea. Most travelers (60%) had diarrhea for up to 3% of their journey time. Diarrhea was accompanied by fever among 18% and necessitated hospitalization in 3%. Forty-five percent indicated that they had lost traveling days due to diarrhea, for an average of 0.7% of the traveling time. We found no correlation between the percentage of traveling time with diarrhea and the following variables: adherence to the WHO recommendations, receipt of advice regarding prevention, duration of the trip, age, sex, and nationality of the travelers. CONCLUSIONS: Dietary self-restraint of travelers as proposed by the WHO is both difficult to comply with and lacks a proven value for the long-term traveler to a developing country.
Oren Hillel; Israel Potasman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of travel medicine     Volume:  12     ISSN:  1195-1982     ISO Abbreviation:  J Travel Med     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-10-31     Completed Date:  2006-03-07     Revised Date:  2009-07-07    
Medline Journal Info:
Nlm Unique ID:  9434456     Medline TA:  J Travel Med     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  243-7     Citation Subset:  IM    
Infectious Diseases and Travel Clinic, Bnai-Zion Medical Centre, Rappaport Faculty of Medicine, Technion, Haifa, Israel.
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MeSH Terms
Diarrhea / prevention & control*
Guideline Adherence / statistics & numerical data*
Health Knowledge, Attitudes, Practice*
Middle Aged
Patient Acceptance of Health Care / statistics & numerical data
Patient Compliance / statistics & numerical data*
Primary Prevention / methods
Risk Factors
World Health Organization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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