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Related Experiment Videos

[Diarrhoea in the traveller].

M M Alonso Socas1, R Alemán, A López Lirola

  • 1Sección de Infecciones, Servicio de Medicina Interna, Hospital Universitario de Canarias, Tenerife, Spain.

Anales Del Sistema Sanitario De Navarra
|May 25, 2006
PubMed
Summary

Traveler's diarrhea, a common illness from contaminated food and water, affects 50,000 daily. Prevention focuses on hygiene, while new drugs like Rifaximine offer treatment options, especially for resistant infections.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Travel Medicine

Context:

  • Diarrhoeic diseases remain a significant health concern in developing regions, impacting global travelers.
  • Approximately 50,000 cases of traveler's diarrhea occur daily worldwide, primarily affecting those returning from less developed areas.
  • Destination significantly influences risk and etiology, with bacterial infections being the most prevalent cause.

Purpose:

  • To review the epidemiology, etiology, and management of diarrhoeic diseases in travelers.
  • To highlight prevention strategies, including hygiene and judicious antibiotic use.
  • To discuss current treatment options and the role of newer agents like Rifaximine.

Summary:

  • Bacterial pathogens cause 60-85% of traveler's diarrhea cases; parasites account for 10% and viruses for 5%.

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  • While typically benign, complications can occur. Prevention relies on strict hygiene and avoiding contaminated food/water.
  • Antibiotic prophylaxis is reserved for high-risk, short-duration travel, particularly for immunocompromised individuals.
  • Impact:

    • Effective management and prevention strategies are crucial for reducing morbidity associated with traveler's diarrhea.
    • Understanding regional variations in etiology is key for targeted prevention and treatment.
    • The introduction of Rifaximine provides a valuable therapeutic option, especially in regions with quinolone-resistant enteropathogens.