Document Detail

Incidence, etiology, and impact of diarrhea among long-term travelers (US military and similar populations): a systematic review.
MedLine Citation:
PMID:  16687698     Owner:  NLM     Status:  MEDLINE    
To determine regional estimates of pathogen-specific prevalence and incidence, as well as, describe morbidity associated with diarrhea among deployed US military and similar populations, a systematic review was conducted for publications between January 1990 to June 2005. Point estimates and confidence intervals of pathogen prevalence and travelers' diarrhea incidence were combined in a random effects model and assessed for heterogeneity. In total, 262 studies were identified for potential inclusion, of which 52 fulfilled inclusion criteria. Overall, 38% were from the Middle East, 29% from Southeast Asia, 27% from Latin America/Caribbean, and 6% from sub-Saharan Africa. Median duration of travel was 1.5 months (interquartile range, 1-3 months). Enterotoxigenic Escherichia coli (ETEC), Campylobacter, and Shigella were identified as causing 38-45% of diarrhea, with regional and population differences. Incidence based on self-report was higher than studies using passive surveillance or clinic-based methods (29 versus 7 versus 6 episodes per 100 person-months, respectively) without regional differences.
Mark S Riddle; John W Sanders; Shannon D Putnam; David R Tribble
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Publication Detail:
Type:  Journal Article; Meta-Analysis    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  74     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-11     Completed Date:  2006-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  891-900     Citation Subset:  AIM; IM    
Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
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MeSH Terms
Diarrhea / epidemiology*,  etiology,  microbiology,  prevention & control
Escherichia coli
Military Personnel*
Risk Factors

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

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