Document Detail


Traveler's diarrhea.
MedLine Citation:
PMID:  15952437     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute diarrhea affects millions of persons who travel to developing countries each year. Food and water contaminated with fecal matter are the main sources of infection. Bacteria such as enterotoxigenic Escherichia coli, enteroaggregative E. coli, Campylobacter, Salmonella, and Shigella are common causes of traveler's diarrhea. Parasites and viruses are less common etiologies. Travel destination is the most significant risk factor for traveler's diarrhea. The efficacy of pretravel counseling and dietary precautions in reducing the incidence of diarrhea is unproven. Empiric treatment of traveler's diarrhea with antibiotics and loperamide is effective and often limits symptoms to one day. Rifaximin, a recently approved antibiotic, can be used for the treatment of traveler's diarrhea in regions where noninvasive E. coli is the predominant pathogen. In areas where invasive organisms such as Campylobacter and Shigella are common, fluoroquinolones remain the drug of choice. Azithromycin is recommended in areas with quinolone-resistant Campylobacter and for the treatment of children and pregnant women.
Authors:
Johnnie Yates
Related Documents :
24261947 - Transport of pru p 3 across gastrointestinal epithelium - an essential step towards the...
23464987 - Brain molecules and appetite: the case of oleoylethanolamide.
19777907 - Concentration method for the detection of enteric viruses from large volumes of foods.
15757727 - Are increased nutrient inputs responsible for more outbreaks of crown-of-thorns starfis...
6696787 - Caudate unit activity during operant feeding behavior in monkeys and modulation by cool...
21424587 - Biological effects of obestatin.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  71     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-14     Completed Date:  2005-07-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2095-100     Citation Subset:  AIM; IM    
Affiliation:
CIWEC Clinic Travel Medicine Center, Kathmandu, Nepal.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Anti-Bacterial Agents / therapeutic use
Antibiotic Prophylaxis
Child
Diarrhea* / complications,  microbiology,  prevention & control
Female
Humans
Infant
Male
Pregnancy
Risk Factors
Travel*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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


Previous Document:  Development of river ecosystem models for Flemish watercourses: case studies in the Zwalm river basi...
Next Document:  Treatment of edema.