Advising travellers about management of travellers' diarrhoea
1MBBS, FRACP, PhD, MPH, DTMH, Head of Infectious Disease Epidemiology Unit, School of Public Health and Preventive Medicine, Monash University, and Director of Travel and Immigrant Health Services, Victorian Infectious Disease Service, Melbourne Health, Parkville, VIC.
Background:
Travellers' diarrhoea (TD) affects a large proportion of international travellers. These people will often present to general practice for advice before they travel.
Objective:
This article will review the current concepts and practical issues for advising people planning to travel about their risks of TD and how to manage symptoms if they develop during the trip.
Discussion:
Avoidance, immunisation, non-antibiotic interventions and antibiotic prophylaxis are all methods for preventing TD. However, advice regarding self-management through rehydration, antibiotic treatment and appropriate seeking of medical advice are most important.
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