Document Detail


Risk factors associated with diarrhea among international visitors to Cuzco, Peru.
MedLine Citation:
PMID:  17123998     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to determine the risk factors for travelers' diarrhea (TD) reported by visitors to Cuzco, Peru. In this cross-sectional study, self-administered questionnaires looking at perceived occurrence of health problems and pre-travel health advice were obtained from departing travelers at Cuzco's International Airport between August and November 2002. A total of 5,988 travelers participated in the study. The mean age was 35 years, and 51% were women. The prevalence of TD was 24%. Factors associated with TD in the multivariable analysis were use of antibiotic prophylaxis (OR: 3.20), vaccination against cholera (OR: 1.44), history of advice for safe food and water consumption (OR: 1.46), being younger than 35 years of age (OR: 1.37), being a resident of the United States (OR: 1.28), not staying in hotels in Cuzco (OR: 1.13), and number of unsafe food or beverages consumed (OR: 1.04). Remaining in Cuzco < 1 week was a protective factor (OR: 0.58). TD is common among travelers to Cuzco. This study suggests that conventional recommendations are not invariably effective at decreasing TD.
Authors:
Miguel M Cabada; Fernando Maldonado; Wanda Quispe; Karen Mozo; Edson Serrano; Elsa González; Carlos Seas; Kristien Verdonck; Juan I Echevarria; Herbert L Dupont; Eduardo Gotuzzo
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  75     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-24     Completed Date:  2007-01-08     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  968-72     Citation Subset:  AIM; IM    
Affiliation:
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru. 03517@upch.edu.pe
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Diarrhea / epidemiology*,  etiology
Female
Health Education
Humans
Information Services / utilization
Male
Patient Compliance
Peru / epidemiology
Preventive Health Services / utilization
Questionnaires
Risk Factors*
Travel*
Grant Support
ID/Acronym/Agency:
DK56338/DK/NIDDK NIH HHS

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


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