Please enable JavaScript.
Coggle requires JavaScript to display documents.
Traveler`s diarrhea - Coggle Diagram
Traveler`s diarrhea
Epidemiology
-
-
-
Individuals originating in high-income countries and traveling to lower- and middle-income countries
-
Returning Home
-
Uncomplicated Diarrhea
-
rifaximin, 200 mg 3 times daily for 3 days
ciprofloxacin, 750 mg once daily for 1 to 3 days
azithromycin, 500 mg once daily for 3 days or 1000 mg in a single dose
-
Clinical Manifestations
Systemic disease with gross blood mixed with stools and/or fever, dysentery.
-
-
Etiology/Microbiology
-
Most important causes
ETEC, Enteroaggregative E coli
-
Salmonella spp, Campylobacterjejuni, Shigella spp, Aeromonas spp, Plesiomonas shigelloides, enterotoxigenic Bacteroides fragilis, and Vibrio spp
Giardia duodenalis, Cryptosporidium species, Entamoeba histolytica, and Microsporidium
-
-
Prevention
Preventive Medication
Use of synbiotics, prebiotics,and probiotics are not recommended.
Bismuth subsalicylate provides modest protection. No patients taking anticoagulants or long-term salicylate therapy.
Systemic antibiotics can reduce the incidence by more than 90%. Fluoroquinolones typically are used.
Antibiotic chemoprophylaxis only for high-risk travelers or on short trips with important duties, for not more than 2 to 3 weeks.
-
-
Dietary Precautions
-
Foods may have been left at awarm ambient in a setting where there are neither screens at the windows
Follow the rule “boil it, cook it, peel it, or forget it” not reduce the likelihood of getting
-
-