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Traveler's diarrhea: updates for pediatricians

Jocelyn Y Ang1, Ambika Mathur

  • 1Carman and Ann Adams Department of Pediatrics, Wayne State University , Detroit, MI 48201, USA.

Pediatric Annals
|January 16, 2009
PubMed

Insights

Traveler's diarrhea (TD) in children requires detailed pre-travel counseling on prevention and management. Oral rehydration solutions are key for mild cases, while antibiotics like azithromycin may be used for moderate to severe TD in children.

Area of Science:

  • Pediatric Travel Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Children are susceptible to traveler's diarrhea (TD), similar to adults.
  • The specific risks, causes, and treatments for TD in children are not well-established.
  • Pre-travel consultations are crucial for addressing TD in pediatric travelers.

Purpose of the Study:

  • To define the risks and management strategies for traveler's diarrhea in children.
  • To emphasize the importance of pre-travel counseling for pediatric TD prevention and self-treatment.
  • To provide guidance on medication use and potential adverse effects for children with TD.

Main Methods:

  • Review of existing literature on pediatric traveler's diarrhea.
  • Analysis of treatment protocols for mild, moderate, and severe TD in children.
  • Guidelines for the use of oral rehydration solutions (ORS) and antibiotics (e.g., azithromycin).

Main Results:

  • Mild TD in children can be effectively managed with oral rehydration solutions.
  • Azithromycin may be considered for moderate to severe TD in pediatric travelers.
  • Caregivers must monitor for improvement, especially after antibiotic self-treatment.

Conclusions:

  • Comprehensive pre-travel education is essential for preventing and managing TD in children.
  • Appropriate use of ORS and timely antibiotic intervention are critical for pediatric TD.
  • Consultation with local health authorities is advised if symptoms persist.

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