| Correlation between adherence to precautions issued by the WHO and diarrhea among long-term travelers to India. | |
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MedLine Citation:
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PMID: 16256046 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Oren Hillel; Israel Potasman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of travel medicine Volume: 12 ISSN: 1195-1982 ISO Abbreviation: J Travel Med Publication Date: 2005 Sep-Oct |
Date Detail:
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Created Date: 2005-10-31 Completed Date: 2006-03-07 Revised Date: 2009-07-07 |
Medline Journal Info:
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Nlm Unique ID: 9434456 Medline TA: J Travel Med Country: Canada |
Other Details:
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Languages: eng Pagination: 243-7 Citation Subset: IM |
Affiliation:
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Infectious Diseases and Travel Clinic, Bnai-Zion Medical Centre, Rappaport Faculty of Medicine, Technion, Haifa, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diarrhea / prevention & control* Female Guideline Adherence / statistics & numerical data* Health Knowledge, Attitudes, Practice* Humans India Male Middle Aged Patient Acceptance of Health Care / statistics & numerical data Patient Compliance / statistics & numerical data* Primary Prevention / methods Risk Factors Travel* World Health Organization* |
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