Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Diarrhea in the returned traveler.

J W Sanders1, D R Tribble

  • 1Infectious Disease Division, National Naval Medical Center, 8901 Wisconsin Boulevard, Bethesda, MD 20889, USA. sandersj@namrus.navy.mil

Current Gastroenterology Reports
|July 27, 2001
PubMed
Summary

Traveler's diarrhea, a common issue, can be diagnosed through patient history and clinical presentation. Empiric antibiotic treatment is often effective, with further testing for persistent or severe cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tranexamic acid in life-threatening military injury and the associated risk of infective complications.

The British journal of surgery·2016
Same author

Biodiversity of spoilage lactobacilli: phenotypic characterisation.

Food microbiology·2014
Same author

Diarrhea burden due to natural infection with enterotoxigenic Escherichia coli in a birth cohort in a rural Egyptian community.

Journal of clinical microbiology·2014
Same author

Combat trauma-associated invasive fungal wound infections: epidemiology and clinical classification.

Epidemiology and infection·2014
Same author

Converting differential-equation models of biological systems to membrane computing.

Bio Systems·2013
Same author

Longitudinal assessment of cardiac diastolic function in HIV-infected patients.

International journal of STD & AIDS·2012

Area of Science:

  • Infectious Diseases
  • Travel Medicine
  • Gastroenterology

Background:

  • Diarrhea is a frequent ailment among travelers returning from endemic areas.
  • Numerous pathogens can cause traveler's diarrhea, necessitating accurate diagnosis.
  • Clinical history and syndrome presentation are crucial for initial assessment.

Purpose of the Study:

  • To outline diagnostic and therapeutic strategies for diarrhea in returned travelers.
  • To guide clinicians in selecting appropriate investigations and treatments.
  • To differentiate between empirical and targeted management approaches.

Main Methods:

  • Review of clinical presentation and patient history.
  • Empirical antibiotic therapy with fluoroquinolones or azithromycin.
  • Microbiologic evaluation including stool cultures and ova and parasite screening for severe or persistent cases.
  • Endoscopic evaluation for refractory cases or suspicion of other conditions.

Main Results:

  • Empirical antibiotic treatment is effective for many patients.
  • Microbiologic evaluation is indicated for severe, persistent, or complicated cases.
  • Endoscopy may be required to rule out non-infectious etiologies.

Conclusions:

  • A stepwise approach, starting with clinical assessment and empirical therapy, is effective for most traveler's diarrhea cases.
  • Further investigations and specialized evaluations are reserved for complex or refractory presentations.
  • Accurate diagnosis and tailored treatment are essential for optimal patient outcomes.

Related Experiment Videos