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Diarrhea in U.S. troops deployed to Thailand

P Echeverria1, L R Jackson, C W Hoge

  • 1Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.

Journal of Clinical Microbiology
|December 1, 1993
PubMed
Summary

A study found that 28% of U.S. military personnel in Thailand developed diarrhea. Campylobacter jejuni was the most common cause identified in those who submitted specimens.

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Area of Science:

  • Infectious Diseases
  • Travel Medicine
  • Microbiology

Background:

  • Diarrheal diseases pose a significant risk to military personnel during deployments.
  • Understanding the etiology of diarrhea in deployed populations is crucial for public health and operational readiness.

Purpose of the Study:

  • To investigate the incidence and identify the causative agents of diarrhea among U.S. military personnel deployed to Ubonratchathani, Thailand.

Main Methods:

  • A prospective study was conducted on 333 U.S. military personnel deployed for one month.
  • Diarrhea incidence was recorded, and stool specimens were collected and analyzed from individuals experiencing diarrhea.

Main Results:

  • Ninety-five (28%) personnel developed diarrhea during the deployment.

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  • Among 24 analyzed specimens, Campylobacter jejuni was identified in 25%, attaching and effacing Escherichia coli in 13%, nontyphoidal Salmonella spp. in 8%, and rotavirus in 4%.

    • Conclusions:

    • Diarrhea is a common health issue for U.S. military personnel in Thailand.
    • Campylobacter jejuni is a primary pathogen responsible for infectious diarrhea in this deployed population, highlighting the need for targeted prevention strategies.