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Traveler's diarrhea in the pediatric population: etiology and impact
1Pediatrics and Travel Medicine, Mountain View Pediatrics, Flagstaff, AZ 86004, USA. sheilam@npgcable.com
Insights
Pediatric traveler's diarrhea poses risks, but data for children is limited. This review examines the evolving role of antimicrobials in treating travel-related illnesses in children.
Area of Science:
- Travel Medicine
- Pediatric Infectious Diseases
Background:
- Children traveling internationally face risks of illnesses similar to adults.
- Limited data exists on the specific etiology, risk, and treatment of these illnesses in pediatric populations.
- Current clinical practices often extrapolate adult treatment protocols for children, lacking standardized recommendations.
Purpose of the Study:
- To review the evolving role and judicious use of antimicrobials in treating pediatric traveler's diarrhea.
- To highlight the need for better-defined treatment parameters for children traveling to distant destinations.
- To address the gap in research concerning travel-related illnesses in pediatric populations.
Main Methods:
- Literature review focusing on pediatric traveler's diarrhea and antimicrobial use.
- Analysis of epidemiological data related to travel medicine over the past two decades.
- Synthesis of existing clinical practices and recommendations for pediatric travel-related illnesses.
Main Results:
- The field of travel medicine has advanced, improving the understanding of traveler's illnesses.
- Most available data on traveler's diarrhea pertains to adult populations.
- Treatment parameters for pediatric traveler's diarrhea are based on extrapolated data and clinical practice.
Conclusions:
- Standardized recommendations for pediatric traveler's diarrhea are lacking.
- Further research is needed to define the specific risks and optimal treatments for children.
- The judicious use of antimicrobials in pediatric travel medicine requires careful consideration and evidence-based guidelines.
Abstract:
Children who travel are at risk of developing the same, well-known illnesses that affect adult travelers. The etiology, treatment, and actual risk of these illnesses are not well defined in children. The limited amount of data available forces clinicians to extrapolate appropriate treatment for children. Recommendations for children have not been standardized. The role and judicious use of antimicrobials in the treatment of pediatric traveler's diarrhea have evolved during recent decades and will be reviewed here. The past 2 decades have seen an unprecedented, sustained growth in travel. The epidemiology related to travel medicine has evolved to describe travelers and their illnesses more specifically. The development of the field of travel medicine has led to greater understanding and improved, targeted treatment of travel-related illnesses. Most of the data available today describe traveler's diarrhea in adults. Children traveling to distant destinations from their home country have not been well studied, yet treatment parameters exist in practice and will be reviewed here.
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