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Travelers Diarrhea

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181. Acute Diarrhea

of developing with :H7 Increased risk of Contraindications Grossly bloody Diarrhea or other signs of 0157:H7 ( : Shiga Toxin E coli) Indications Findings suggestive of Bacterial Diarrhea Guiaic positive stool (not grossly bloody stool) Fecal positive Overseas travel Diarrheal illness lasting longer than 10-14 days Immunocompromised patients Severe illness or Age over 65 years old Empiric Antibiotics (adults) Empiric adult dose: 500 to 1000 mg once or 500 mg twice daily for 3 days Preferred agent (...) ) , Diarrhea symptoms (context-dependent category) , Diarrhea symptom (finding) , Diarrhea symptom , Diarrhoea symptom French DIARRHEE , Diarrhée SAI , SELLES LIQUIDES , Diarrhée Portuguese DIARREIA , Diarreia NE , FEZES LIQUIDAS , Diarreia Spanish DIARREA , síntoma de diarrea (hallazgo) , síntoma de diarrea , Diarrea NEOM , síntoma de diarrea, SAI (categoría dependiente del contexto) , síntomas de diarrea (categoría dependiente del contexto) , síntomas de diarrea , HECES BLANDAS , síntoma de diarrea, SAI

2018 FP Notebook

182. Diarrhea in Children

Diarrhea in Children Diarrhea in Children Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Diarrhea in Children Diarrhea in Children (...) Aka: Diarrhea in Children , Pediatric Diarrhea , Pediatric Gastroenteritis , Gastroenteritis in Children , Acute Gastroenteritis in Children From Related Chapters II. Epidemiology U.S. Outpatient Visits: 1.5 Million per year U.S. Hospitalizations: 200,000 per year Deaths U.S.: 300 per year World: 2.5 Million per year (age under 5 years) Fifth leading cause of death in children worldwide) III. Definitions: Diarrhea See ral See Sudden increased stool frequency and looseness Three or more watery

2018 FP Notebook

183. MKSAP: 30-year-old woman is evaluated for a 2-month history of diarrhea

MKSAP: 30-year-old woman is evaluated for a 2-month history of diarrhea Giardiasis should be considered in patients with chronic diarrhea MKSAP: 30-year-old woman is evaluated for a 2-month history of diarrhea | | October 27, 2018 4 Shares Test your medicine knowledge with the , in partnership with the . A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia (...) that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. She works in a day care center and has not traveled recently or had exposure to antibiotics. She is otherwise healthy and takes no medications. On physical examination, temperature is 37.0 °C (98.6 °F), blood pressure is 112/74 mm Hg, and pulse rate is 70/min. The abdomen is soft with normal bowel sounds and mild distention but no tenderness. Which of the following is the most appropriate management

2018 KevinMD blog

184. Diarrhoea and vomiting caused by gastroenteritis in under 5s: diagnosis and management

and/or vomiting and and exposure to a known source of enteric infection (possibly contaminated water or food) and and recent travel abroad. 1.1.1.3 Be aware that in children with gastroenteritis: diarrhoea usually lasts for 5–7 days, and in most it stops within 2 weeks vomiting usually lasts for 1–2 days, and in most it stops within 3 days. 1.1.1.4 Consider any of the following as possible indicators of diagnoses other than gastroenteritis: Diarrhoea and vomiting caused by gastroenteritis in under 5s (...) of dehydration recurring, consider giving 5 ml/kg of ORS solution after each large watery stool. These include: children younger than 1 year, particularly those younger than 6 months infants who were of low birth weight children who have passed more than five diarrhoeal stools in the previous 24 hours children who have vomited more than twice in the previous 24 hours. Diarrhoea and vomiting caused by gastroenteritis in under 5s: diagnosis and management (CG84) © NICE 2019. All rights reserved. Subject

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

185. Statement on pregnancy and travel

Statement on pregnancy and travel 1 CCDR Canada Communicable Disease Report RMTC Relevé des maladies transmissibles au Canada March 2010 • Volume 36 • ACS-2 March 2010 • Volume 36 • DCC-2 ISSN 1481-8531 Committee to Advise on Tropical Medicine and Travel* † STATEMENT ON PREGNANCY AND TRAVEL This correction note was published in the CCDR Volume 40-8 on April 17, 2014 The “Statement on Pregnancy and Travel” by the Committee to Advise on Tropical Medicine and Travel (CATMAT) † published in March (...) . + This statement was prepared by C. Beallor and approved by CATMAT. CATMAT gratefully acknowledges the work of Dr. Gideon Koren for his contribution to the development of the statement. † Committee to Advise on Tropical Medicine and Travel. Statement on Pregnancy and Travel. Can Comm Dis Rep 2010:36:ACS-2. 2 or respected authorities on the basis of clinical ex- perience, descriptive studies, or reports of expert committees.) In a further paragraph in the motion sickness section, a statement regarding the lack

2010 CPG Infobase

186. Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation. (Abstract)

Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation. Travel is important in the acquisition and dissemination of infection. We aimed to assess European surveillance data for travel-related illness to profile imported infections, track trends, identify risk groups, and assess the usefulness of pre-travel advice.We analysed travel-associated morbidity in ill travellers (...) presenting at EuroTravNet sites during the 5-year period of 2008-12. We calculated proportionate morbidity per 1000 ill travellers and made comparisons over time and between subgroups. We did 5-year trend analyses (2008-12) by testing differences in proportions between subgroups using Pearson's χ(2) test. We assessed the effect of the pre-travel consultation on infection acquisition and outcome by use of proportionate morbidity ratios.The top diagnoses in 32 136 patients, ranked by proportionate

2014 Lancet infectious diseases

187. Are Pharmacists Ready for a Greater Role in Travel Health? An Evaluation of the Knowledge and Confidence in Providing Travel Health Advice of Pharmacists Practicing in a Community Pharmacy Chain in Alberta, Canada. Full Text available with Trip Pro

in providing travel-related advice to patients.A web-based survey was developed and distributed to 84 pharmacists practicing in a mid-size pharmacy chain in Alberta, Canada. The survey included knowledge and confidence assessment components. To assess knowledge, pharmacists were provided two cases, along with multiple-choice questions examining pre-travel risk assessment, and advice on travel at altitude, vaccines, malaria, travelers' diarrhea, and other potential travel health risks. Confidence (...) Are Pharmacists Ready for a Greater Role in Travel Health? An Evaluation of the Knowledge and Confidence in Providing Travel Health Advice of Pharmacists Practicing in a Community Pharmacy Chain in Alberta, Canada. Patients often consult community pharmacists for medication needs related to travel, but little is known of pharmacists' knowledge and readiness to provide this care. The aim of this study was to evaluate pharmacists' knowledge in travel health, and to assess their confidence

2014 Journal of Travel Medicine

188. BinaxNOW Malaria rapid diagnostic test in returning travelers?

2010 Status: Green (complete) Three Part Question In [recent travelers or migrants with fever and a history of exposure to malaria endemic areas] does the [BinaxNOW malaria rapid diagnostic test] have [adequate diagnostic accuracy to guide initial treatment decisions]? Clinical Scenario A 28-year-old female presents to the emergency department with fever, influenza-like symptoms and diarrhea. History reveals she recently returned from a two week trip to rural Kenya. You consider malaria in your (...) BinaxNOW Malaria rapid diagnostic test in returning travelers? BestBets: BinaxNOW Malaria rapid diagnostic test in returning travelers? BinaxNOW Malaria rapid diagnostic test in returning travelers? Report By: Nicholas Kuhl MD - Resident Physician Search checked by Jeff Jones MD - Research Director, Emergency Physician Institution: Grand Rapids Medical Education & Research/Michigan State University Date Submitted: 15th April 2010 Date Completed: 24th November 2010 Last Modified: 24th November

2011 BestBETS

189. MKSAP: 30-year-old woman with diarrhea

MKSAP: 30-year-old woman with diarrhea Giardiasis should be considered in patients with chronic diarrhea MKSAP: 30-year-old woman with diarrhea | | March 4, 2017 4 Shares Test your medicine knowledge with the , in partnership with the . A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever (...) or blood in the stool. She works in a day care center and has not traveled recently or had exposure to antibiotics. She is otherwise healthy and takes no medications. On physical examination, temperature is 37.0 °C (98.6 °F), blood pressure is 112/74 mm Hg, and pulse rate is 70/min. The abdomen is soft with normal bowel sounds and mild distention but no tenderness. Which of the following is the most appropriate management? A. Colonoscopy B. Stool cultures C. Stool testing for ova and parasites D

2017 KevinMD blog

190. Import and spread of extended-spectrum β-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): a prospective, multicentre cohort study. (Abstract)

), with the highest number of acquisitions being among those who travelled to southern Asia in 136 of 181 (75·1%, 95% CI 68·4-80·9). Important predictors for acquisition of ESBL-E were antibiotic use during travel (adjusted odds ratio 2·69, 95% CI 1·79-4·05), traveller's diarrhoea that persisted after return (2·31, 1·42-3·76), and pre-existing chronic bowel disease (2·10, 1·13-3·90). The median duration of colonisation after travel was 30 days (95% CI 29-33). 65 (11·3%) of 577 remained colonised at 12 months. CTX (...) Import and spread of extended-spectrum β-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): a prospective, multicentre cohort study. International travel contributes to the dissemination of antimicrobial resistance. We investigated the acquisition of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) during international travel, with a focus on predictive factors for acquisition, duration of colonisation, and probability of onward

2016 Lancet infectious diseases

191. Spectrum of Imported Infectious Diseases: A Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants from the Tropics and Subtropics. Full Text available with Trip Pro

Spectrum of Imported Infectious Diseases: A Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants from the Tropics and Subtropics. The aim of this study was to assess the spectrum of imported infectious diseases (IDs) among patients consulting the University of Munich, Germany, between 1999 and 2014 after being in the sub-/tropics. The analysis investigated complete data sets of 16,817 diseased German travelers (2,318 business travelers, 4,029 all-inclusive travelers (...) , and 10,470 backpackers) returning from Latin America (3,225), Africa (4,865), or Asia (8,727), and 977 diseased immigrants, originating from the same regions (112, 654 and 211 respectively). The most frequent symptoms assessed were diarrhea (38%), fever (29%), and skin disorder (22%). The most frequent IDs detected were intestinal infections with species of Blastocystis(900),Giardia(730),Campylobacter(556),Shigella(209), and Salmonella(183). Also frequently observed were cutaneous larva migrans (379

2016 American Journal of Tropical Medicine & Hygiene

192. Erratum to: The influence of travel time on emergency obstetric care seeking behavior in the urban poor of Bangladesh: a GIS study Full Text available with Trip Pro

Erratum to: The influence of travel time on emergency obstetric care seeking behavior in the urban poor of Bangladesh: a GIS study 27678058 2018 11 13 1471-2393 16 1 2016 09 27 BMC pregnancy and childbirth BMC Pregnancy Childbirth Erratum to: The influence of travel time on emergency obstetric care seeking behavior in the urban poor of Bangladesh: a GIS study. 283 Panciera Rocco R International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shahid Tajuddin Ahmed Sharani (...) , Mohakhali, Dhaka, 1212, Bangladesh. pancerarocco@gmail.com. Khan Akib A James P. Grant School of Public Health, BRAC University, 5th Floor, (Level-6), icddr,b Building, 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh. Rizvi Syed Jafar Raza SJ International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh. Ahmed Shakil S International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68

2016 BMC pregnancy and childbirth

193. Self-reported illness among Boston-area international travelers: A prospective study Full Text available with Trip Pro

vaccination, influenza prevention advice, and respiratory symptoms.Of 987 enrolled travelers, 628 (64%) completed all surveys, of which 400 (64%) reported health problems during and/or after travel; median trip duration was 12 days. Diarrhea affected the most people during travel (172) while runny/stuffy nose affected the most people after travel (95). Of those with health problems during travel, 25% stopped or altered plans; 1% were hospitalized. After travel, 21% stopped planned activities, 23% sought (...) Self-reported illness among Boston-area international travelers: A prospective study The Boston Area Travel Medicine Network surveyed travelers on travel-related health problems.Travelers were recruited 2009-2011 during pre-travel consultation at three clinics. The investigation included pre-travel data, weekly during-travel diaries, and a post-travel questionnaire. We analyzed demographics, trip characteristics, health problems experienced, and assessed the relationship between influenza

2016 Travel medicine and infectious disease

194. Dengue virus infection in a French traveller to the hilly region of Nepal in 2015: a case report Full Text available with Trip Pro

Dengue virus infection in a French traveller to the hilly region of Nepal in 2015: a case report Dengue viral infections are known to pose a significant risk during travel to tropical regions, but it is surprising to find dengue transmission in the hilly region of Nepal, which is over 1800mtr above sea level.A 43-year-old Caucasian female traveler from France presented with fever and abdominal pain following a diarrheal illness while visiting the central hilly region of Nepal. Over the course

2016 Journal of medical case reports

195. Evaluation of a programme for 'Rapid Assessment of Febrile Travelers' (RAFT): a clinic-based quality improvement initiative. Full Text available with Trip Pro

diarrhoea (n=27, 17.5%), dengue (n=12, 8%), viral upper respiratory tract infection (n=11, 7%), chikungunya (n=10, 6.5%), laboratory-confirmed influenza (n=8, 5%) and lobar pneumonia (n=8, 5%).In addition to provision of more timely care to ambulatory febrile returned travellers, we reduced ED bed-usage by providing an alternate setting for follow-up malaria screening, and treatment of infectious diseases manageable in an outpatient setting, but requiring specific therapy.Published by the BMJ Publishing (...) Evaluation of a programme for 'Rapid Assessment of Febrile Travelers' (RAFT): a clinic-based quality improvement initiative. Fever in the returned traveller is a potential medical emergency warranting prompt attention to exclude life-threatening illnesses. However, prolonged evaluation in the emergency department (ED) may not be required for all patients. As a quality improvement initiative, we implemented an algorithm for rapid assessment of febrile travelers (RAFT) in an ambulatory

2016 BMJ open

196. Frequent acquisition of low-virulence strains of ESBL-producing Escherichia coli in travellers. Full Text available with Trip Pro

A and were rarely associated with extraintestinal infections and a few (9.2%) expressed uropathogenicity pap genes. During 10-26 months of follow-up, no clinical infections were observed. Colonization rates varied by visited region: the Indian subcontinent, 49.2%; northern Africa, 44.0%; South-East Asia, 19.1%; and Turkey, 9.5%. Travellers' diarrhoea (OR 2.5, P = 0.04) or antimicrobial treatment during the trip (OR 5.9, P = 0.02) were both independent risk factors for EPE colonization.EPE acquired during (...) Frequent acquisition of low-virulence strains of ESBL-producing Escherichia coli in travellers. International travel is a risk factor for intestinal colonization with ESBL-producing Enterobacteriaceae (EPE). This prospective cohort study focuses on molecular features of and risk factors for travel-acquired EPE.Rectal swabs and survey data were collected from 188 Swedes travelling to four regions of high EPE prevalence. Samples were plated onto selective agars. ESBL producers were determined

2016 Journal of Antimicrobial Chemotherapy

197. Antimicrobial resistance in Shiga toxin-producing Escherichia coli serogroups O157 and O26 isolated from human cases of diarrhoeal disease in England, 2015. Full Text available with Trip Pro

Antimicrobial resistance in Shiga toxin-producing Escherichia coli serogroups O157 and O26 isolated from human cases of diarrhoeal disease in England, 2015. Shiga toxin-producing Escherichia coli (STEC) are zoonotic and transmission to humans occurs via contaminated food or contact with infected animals. In this study, WGS data were used to predict antimicrobial resistance (AMR) in STEC from symptomatic human cases to assess the extent of transmission of antibiotic-resistant E. coli from (...) and tetracyclines account for the majority of therapeutic antimicrobials sold for veterinary use and this may be a risk factor for the presence of AMR in domestically acquired human clinical isolates of STEC. Isolates that were resistant to ampicillin, streptomycin, sulphonamide, tetracycline and azithromycin and had reduced susceptibility to ciprofloxacin were associated with cases who reported recent travel abroad.© Crown copyright 2016.

2016 Journal of Antimicrobial Chemotherapy

198. A Case of an 11-year-old With Cough, Diarrhea, and Findings of Concern in His Lungs and Spleen. Full Text available with Trip Pro

A Case of an 11-year-old With Cough, Diarrhea, and Findings of Concern in His Lungs and Spleen. This is the case of a previously healthy, 11-year-old male of Indian descent who presented to the emergency department with a 2-month history of nausea, vomiting, diarrhea, fatigue, cough, and 7-lb weight loss. Acutely, he developed 5 days of fever as high as 39.4°C. He had a remote travel history to the Middle East. On physical examination, he was febrile and tachycardic, was thin but otherwise had

2016 Pediatrics

199. ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults. (Abstract)

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults. Acute diarrheal infections are a common health problem globally and among both individuals in the United States and traveling to developing world countries. Multiple modalities including antibiotic and non-antibiotic therapies have been used to address these common infections. Information on treatment, prevention, diagnostics, and the consequences of acute diarrhea infection has emerged (...) and helps to inform clinical management. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis, prevention, and treatment of acute diarrhea infection in both US-based and travel settings.

2016 American Journal of Gastroenterology

200. Incidence, Etiology and Risk Factors for Travelers’ Diarrhea during a Hospital Ship-Based Military Humanitarian Mission: Continuing Promise 2011 Full Text available with Trip Pro

Incidence, Etiology and Risk Factors for Travelers’ Diarrhea during a Hospital Ship-Based Military Humanitarian Mission: Continuing Promise 2011 Travelers' diarrhea (TD) is the most common ailment affecting travelers, including deployed U.S. military. Continuing Promise 2011 was a 5-month humanitarian assistance/disaster response (HA/DR) military and non-governmental organization training mission aboard the hospital ship USNS Comfort, which deployed to Central and South America

2016 PloS one

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