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TRAVELER´S DIARRHEA - Coggle Diagram
TRAVELER´S DIARRHEA
Treatment
The choice of the agent depends on the geographic location of the traveler. For most destinations, a fluoroquinolone is the choice for treatment
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A combination of loperamide and an antibiotic can be taken when prompt reversal of symptoms is necessary
Etiology/Microbiology
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Most frequent pathogens
Enterogenic E. Coli, Enteroaggregative E. Coli, Campylobacter, Salmonella, Shigella, Norovirus, Rotavirus and Giardia
Parasites often cause prolonged diarrhea, as do the invasive bacterial pathogens Shigella, Salmonella, and Campylobacter
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Epidemiology
Individuals originating in high-income countries and traveling to lower- and middle-income countries
South Asia and West/Central Africa remain the destinations with the highest risk of traveler’s diarrhea.
he disease is present if travelers develop at their destination 3 or more unformed stools per 24 hours plus at least 1 additional symptom, such as: abdominal cramps, tenesmus, nausea, vomiting, fever, or fecal urgency
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Risk Groups
Environmental Factors
The risk of traveler’s diarrea depends particularly the available budget, that often determines where a traveler purchasesmeals
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Cruise ship passengers and staff at increased risk of norovirus outbreaks that are difficult to contain
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