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Traveller's diarrhoea.

Seif S Al-Abri1, Nick J Beeching, Fred J Nye

  • 1Tropical and Infectious Disease Unit, Royal Liverpool University Hospital, Liverpool, UK. salabri@hotmail.com

The Lancet. Infectious Diseases
|May 28, 2005
PubMed
Summary
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Traveller's diarrhoea, a common travel illness, is linked to poor sanitation. While prevention advice exists, improving public health infrastructure is key for long-term traveler and local health.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Public Health

Background:

  • Traveller's diarrhoea impacts over 50% of travelers to certain destinations, disrupting travel plans.
  • The condition is associated with inadequate public health infrastructure and hygiene, especially in warmer climates.
  • Current prevention strategies, including dietary advice, have mixed evidence of effectiveness.

Purpose of the Study:

  • To review the causes, epidemiology, and management of traveller's diarrhoea.
  • To evaluate current prevention and treatment strategies.
  • To highlight the importance of public health improvements for long-term solutions.

Main Methods:

  • Literature review of traveller's diarrhoea causes, epidemiology, and management.
  • Analysis of prevention strategies, including non-antimicrobial and antimicrobial approaches.

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  • Examination of treatment options, focusing on recommended antibiotics.

    • Main Results:

    • Traveller's diarrhoea is prevalent, linked to environmental and hygiene factors.
    • Non-antimicrobial prevention is preferred, but adherence and effectiveness vary.
    • Fluoroquinolones, azithromycin, and rifaximin are key treatments, often self-administered.

    Conclusions:

    • Improving public health and hygiene standards at tourist destinations offers the most significant long-term health benefits.
    • While antimicrobial treatments are effective for traveller's diarrhoea, sustainable solutions require infrastructure development.
    • Further research into effective and accessible prevention methods is warranted.