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Travelers Diarrhea

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41. Traveler's Diarrhea Prophylaxis

Traveler's Diarrhea Prophylaxis Travelers Diarrhea Prophylaxis 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 Traveler's Diarrhea (...) Prophylaxis Traveler's Diarrhea Prophylaxis Aka: Traveler's Diarrhea Prophylaxis , Prophylaxis of Traveler's Diarrhea , Prevention of Traveler's Diarrhea , Traveler's Diarrhea Prevention II. Prevention: Traveler's Diarrhea Rule 1: "Boil it, Cook it, Peel it or Forget it" Preparing your own food ensures safety (avoid food prepared by street vendors) Dry foods (e.g. breads, chips) are typically safe Exposures to avoid Avoid raw, unpeeled vegetables, lettucs, tomatoes Avoid pre-peeled fruit Avoid tap water

2018 FP Notebook

42. Traveler's Diarrhea Management

Traveler's Diarrhea Management Travelers Diarrhea Management 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 Traveler's Diarrhea (...) Management Traveler's Diarrhea Management Aka: Traveler's Diarrhea Management From Related Chapters II. Precautions : Overall Avoid trimethoprim-sulfamethoxazole ( , ) and due to high resistance rates Most is self-limited and spontaneously resolves WITHOUT antibiotics Use of antibiotics (esp. self treatment) is associated with multi-drug resistance, c. diff : Travel to Southeast Asia, Thailand, India or Nepal -resistant is common as first-line agent is preferred in these cases s Antimalarials and both

2018 FP Notebook

43. Traveler's Diarrhea

, diarrhea travelers' , diarrhoea travellers , travelers' diarrhea , traveler's diarrhea , Travellers' diarrhoea (disorder) , Travellers' diarrhea , Traveler's diarrhea , Turista , Traveler's diarrhoea , Traveler's diarrhea (disorder) Dutch reizigersdiarree French Diarrhée du voyageur German Reisediarrhoe Italian Diarrea del viaggiatore Portuguese Diarreia do viajante Spanish Diarrea del viajero , diarrea del viajero (trastorno) , diarrea del viajero , turista Japanese 旅行者下痢 , リョコウシャゲリ Czech Průjem (...) sampling from a Bing search on the term "Travelers Diarrhea." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Traveler's diarrhea (C0277528) Concepts Disease or Syndrome ( T047 ) SnomedCT 186165000 , 367091004 , 11840006 English Travelers' diarrhea , Travellers' diarrhoea , Traveller's diarrhea , Traveller's diarrhoea , traveller's diarrhoea , traveller's diarrhea , diarrhea travelers , turista , diarrhea traveler's

2018 FP Notebook

44. Eluxadoline for treating irritable bowel syndrome with diarrhoea

Eluxadoline for treating irritable bowel syndrome with diarrhoea Eluxadoline for treating irritable bowel Eluxadoline for treating irritable bowel syndrome with diarrhoea syndrome with diarrhoea T echnology appraisal guidance Published: 30 August 2017 nice.org.uk/guidance/ta471 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guidance represent (...) inequalities. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Eluxadoline for treating irritable bowel syndrome with diarrhoea (TA471) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 24Contents Contents 1 Recommendations 4 2 The technology 5 3

2017 National Institute for Health and Clinical Excellence - Technology Appraisals

45. Travel to Asia and traveller's diarrhoea with antibiotic treatment are independent risk factors for acquiring ciprofloxacin-resistant and extended spectrum betalactamase-producing Enterobacteriaceae - a prospective cohort study. Full Text available with Trip Pro

Travel to Asia and traveller's diarrhoea with antibiotic treatment are independent risk factors for acquiring ciprofloxacin-resistant and extended spectrum betalactamase-producing Enterobacteriaceae - a prospective cohort study. Travel to (sub)tropical countries is a well-known risk factor for acquiring resistant bacterial strains, which is especially of significance for travellers from countries with low resistance rates. In this study we investigated the rate of and risk factors for travel (...) Escherichia coli and predominantly blaCTX-M-15, 56% (55/98) were resistant to gentamicin, ciprofloxacin and co-trimoxazole. Multivariate analysis showed that Asia was a high-risk area for ESBL-E as well as CIPR-E acquisition. Travellers with diarrhoea combined with antimicrobial use were significantly at higher risk for acquisition of resistant strains. Only one carbapenemase-producing isolate was acquired, isolated from a participant after visiting Egypt. In conclusion, travelling to Asia and diarrhoea

2016 Clinical Microbiology and Infection

46. CRACKCast E173 – Infectious Diarrheal Disease and Dehydration

CRACKCast E173 – Infectious Diarrheal Disease and Dehydration CRACKCast E173 - Infectious Diarrheal Disease and Dehydration - CanadiEM CRACKCast E173 – Infectious Diarrheal Disease and Dehydration In , by Chris Lipp April 30, 2018 This episode of CRACKCast covers Rosen’s Chapter 173 (9th Ed.). Infectious diarrhea is a very common issue to deal with in the ER and resulting dehydration is especially important to recognize and treat appropriately. This episode will run you through the basics (...) . Antibiotics are recommended routinely for Campylobacter, C. difficile, Giardia intestinalis, and E. Histolytica. Antibiotics can be considered for Cryptosporidium, traveler’s diarrhea, and Shigella (because antibiotics have been shown to decrease diarrhea and eradicate organisms in the stool). Patients with Shiga toxin–producing E. coli (STEC) should not empirically receive antibiotics, because they may increase the risk of hemolytic-uremic syndrome (HUS). Testing for fecal leukocytes is a useful initial

2018 CandiEM

47. Traveler's Diarrhea in Foreign Travelers in Southeast Asia: A Cross-Sectional Survey Study in Bangkok, Thailand. Full Text available with Trip Pro

to foreign travelers departing Southeast Asia from Suvarnabhumi Airport, Bangkok, Thailand. It evaluated traveler demographics, relevant knowledge and practices, experiences of diarrhea, and the details and consequences of each diarrheal episode. A total of 7,963 questionnaires were completed between April 2010 and July 2011. Respondents were 56% male (mean age 35) with a mean and median duration of stay of 28 days and 10 days, respectively. Most respondents were from Europe (36.8%) or East Asia (33.4 (...) Traveler's Diarrhea in Foreign Travelers in Southeast Asia: A Cross-Sectional Survey Study in Bangkok, Thailand. The effect of origin and destination country on traveler's diarrhea incidence rates in Southeast Asia is poorly understood, and research generally only addresses diarrhea in travelers from the developed world. This study evaluated the attack rate and effects of traveler's diarrhea by origin and destination and analyzed key risk factors. A self-administered questionnaire was provided

2015 American Journal of Tropical Medicine & Hygiene

48. Management of traveller's diarrhoea with a combination of sodium butyrate, organic acids, and A-300 silicon dioxide. Full Text available with Trip Pro

Management of traveller's diarrhoea with a combination of sodium butyrate, organic acids, and A-300 silicon dioxide. Traveller's diarrhoea (TD), defined by UNICEF/WHO as three or more unformed stools with or without other symptoms, imposes a considerable burden on travellers from developed countries. Various efforts have focused on decreasing the prevalence and severity of this condition.To assess the efficacy of a combination of sodium butyrate, organic acids, and A-300 silicon dioxide (...) in treatment providing symptomatic relief of TD.The study was conducted in accordance with a protocol presented to the Bioethical committee of Poznan University of Medical Sciences. A total of 278 patients travelling to countries with higher risk of diarrhoea for at least 10 days were divided into a study arm being administered, in case of TD, a combination of sodium butyrate, organic acids, and A-300 silicon dioxide (n = 139) and a placebo arm (n = 139) with placebo administration.Forty-seven patients

2014 Przeglad gastroenterologiczny Controlled trial quality: uncertain

49. Diarrhoea in Adult Cancer Patients: ESMO Clinical Practice Guidelines

the development of the diarrhoea over the previ- ous days and, particularly, the frequency of bowel movements during the past 24 hours. Stool consistency and admixture of blood, mucus or pus should be noted. It is also important to distin- guish diarrhoea from steatorrhoea, according to stool characteris- tics. Questions should cover possible causes other than cancer and oncological therapies [food and ?uid intake in the last few days, re- cent travel, recent use of antibiotics, use of proton pump inhibitors (...) that contain water, salt and sugar. Oral rehydration: Oral rehydration therapy (ORT) is generally appropriate for mild diarrhoea [I, A]. Diluted fruit juices and ?avoured soft drinks along with saltine crackers and broths or soups may meet the ?uid and salt needs in patients with mild ill- ness. Oral rehydration solutions (ORSs), including standard World Health Organization (WHO) ORSs or commercial ORSs may be more appropriate in patients with more severe diarrhoeal disease [II, A]. In elderly patients

2018 European Society for Medical Oncology

50. Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea Full Text available with Trip Pro

. , , , , EXECUTIVE SUMMARY The following evidence-based guidelines for management of infants, children, adolescents, and adults in the United States with acute or persistent infectious diarrhea were prepared by an expert panel assembled by the Infectious Diseases Society of America (IDSA) and replace guidelines published in 2001 [ ]. Public health aspects of diarrhea associated with foodborne and waterborne diarrhea, international travel, antimicrobial agents, immunocompromised hosts, animal exposure, certain (...) can be found online in the full text of the guidelines. RECOMMENDATIONS FOR THE DIAGNOSIS AND MANAGEMENT OF INFECTIOUS DIARRHEA Clinical, Demographic, and Epidemiologic Features I. In people with diarrhea, which clinical, demographic, or epidemiologic features have diagnostic or management implications? (Tables 1–3) Table 1. Modes of Acquisition of Enteric Organisms and Sources of Guidelines Mode Title URL Author/Issuing Agency International travel Expert Review of the Evidence Base for Prevention

2017 Infectious Diseases Society of America

51. CRACKCast E031 – Diarrhea

-flags’ of diarrhea? Lets break it down a little bit so the knowledge ‘flows’ a little better… Location: Encounters with hospital system, travel, day care and wilderness Exposure : Antibiotic exposure, strange animals (shellfish, farm animals, amphibians), sick amigos, known contaminated meats or dairy Symptoms: Vomiting immediately after suspicious food, pain/n/v/blood/fever/tenesmus (my favorite work), more than a week of poops Signs and labs : HUS (HGB < 80 with peripermal smear schistos (...) CRACKCast E031 – Diarrhea CRACKCast E031 - Diarrhea - CanadiEM CRACKCast E031 – Diarrhea In , by Justin Roos March 16, 2017 This episode of CRACKCast covers Rosen’s Chapter 31, Diarrhea. This chapter covers a common ED complaint including the pathophysiology, risk factors for non-benign diarrhea, and the approach to treatment. Shownotes – Rosen’s in Perspective Runny poo accounts for 5% of all ED visits… or about 6 patients a week for the average provider. While in the developed world we

2017 CandiEM

52. Probiotics for Acute infectious diarrhoea

Probiotics for Acute infectious diarrhoea RACGP - Probiotics for acute infectious diarrhea Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship (...) Media Releases 2013 Media Releases 2012 Media Releases Search Probiotics for acute infectious diarrhea Probiotics for acute infectious diarrhea Introduction There may be a significant difference between the pharmaceutical-grade probiotics that show promise in clinical trials and probiotics in foodstuffs. Intervention Oral probiotics taken directly or mixed with food/fluid. Indication Episodes of acute infectious diarrhoea, particularly in children (there are few studies involving adults), aiming

2016 Handbook of Non-Drug interventions (HANDI)

53. Statement on international travellers who intend to visit friends and relatives

for work (e.g. health care worker). For individuals at risk of hepatotoxicity from LTBI treatment with isoniazid, such treatment would be reserved for those with recent infection during travel, making pre-travel TB skin testing important for immigrant VFRs who are more likely to have a positive test result pre-travel. PARASITIC INFECTIONS When compared to other travellers, immigrant VFRs have been found to have significantly more non-diarrheal intestinal parasitic infections, regardless of destination (...) GeoSentinel post-travel clinic found VFRs to be more likely to present with these, and various other, intestinal parasites (66). A review comparing illnesses among VFR versus non-VFR travellers in the entire GeoSentinel network found the proportionate morbidity of non-diarrheal intestinal pathogens in VFRs was greatly increased, with odds ratios ranging from 3.8 to 6.8 according to region of travel (26). Similar to the updating of vaccinations, the pre-travel assessment can represent an opportunity

2015 CPG Infobase

54. Prospective study of pathogens in asymptomatic travellers and those with diarrhoea: aetiological agents revisited. Full Text available with Trip Pro

Prospective study of pathogens in asymptomatic travellers and those with diarrhoea: aetiological agents revisited. Travellers' diarrhoea (TD) remains the most frequent health problem encountered by visitors to the (sub)tropics. Traditional stool culture identifies the pathogen in only 15% of cases. Exploiting PCR-based methods, we investigated TD pathogens with a focus on asymptomatic travellers and severity of symptoms. Pre- and post-travel stools of 382 travellers with no history (...) % of those with resolved TD, and 83% of those with ongoing TD; 25%, 43% and 53% had multiple pathogens, respectively. EPEC, EAEC, ETEC and Campylobacter associated especially with ongoing TD symptoms. EAEC and EPEC proved more common than ETEC. To conclude, modern methodology challenges our perception of stool pathogens: all pathogens were common both in asymptomatic and symptomatic travellers. TD has a multibacterial nature, but diarrhoeal symptoms mostly associate with EAEC, EPEC, ETEC

2016 Clinical Microbiology and Infection

55. Travelers' Diarrhea in Children at Risk: An Observational Study From a Spanish Database. (Abstract)

Travelers' Diarrhea in Children at Risk: An Observational Study From a Spanish Database. Gastrointestinal symptoms are a common cause of consultation about children traveling to or coming from developing countries. The aim of this study was to identify the risk factors associated with gastrointestinal syndrome in children who travel.A prospective observational analytical and multicenter study was performed within +Redivi, a Spanish Tropical Medicine network on imported infections, from January (...) 2009 to December 2013. All participants aged 16 years and younger were included in the analysis. Ethical approval was obtained from all the participating centers.A total of 606 children ≤16 years of age were registered in the +Redivi database during the study period. Median age was 8.7 years (interquartile range, 4.4-12.4 years), 65.8% (399/606) were immigrants, 90% were >2 years old and 54% were male. Median travel duration, excluding immigrants, was 50 days (interquartile range, 30-150 days

2016 Pediatric Infectious Dsease Journal

56. Use of antimicrobial agents for treatment and prevention of travellers' diarrhoea in the face of enhanced risk of transient fecal carriage of multi-drug resistant enterobacteriaceae: setting the stage for consensus recommendations. Full Text available with Trip Pro

Use of antimicrobial agents for treatment and prevention of travellers' diarrhoea in the face of enhanced risk of transient fecal carriage of multi-drug resistant enterobacteriaceae: setting the stage for consensus recommendations. The recommendation that antibiotics should be used for routine therapy of travellers' diarrhoea is being reconsidered in view of growing evidence that the therapy may lead to intestinal carriage of multi-drug resistant (MDR) colonic microbiota. This review attempts (...) to put the issues of therapy and MDR acquisition in perspective to help in the establishment of therapeutic recommendations for travellers' diarrhoea.The existing literature showing the risk and consequences of acquisition of MDR microbiota in antibiotic-treated travellers was reviewed. Issues important to the development of firm evidence-based recommendations for antibiotics use for treatment and prevention of travellers' diarrhoea were researched.Six areas of research needed to allow

2016 Journal of Travel Medicine

57. Increased Risk for ESBL-Producing Bacteria from Co-administration of Loperamide and Antimicrobial Drugs for Travelers' Diarrhea(1). Full Text available with Trip Pro

Increased Risk for ESBL-Producing Bacteria from Co-administration of Loperamide and Antimicrobial Drugs for Travelers' Diarrhea(1). Antimicrobial drug treatment of travelers' diarrhea is known to increase the risk for colonization with extended-spectrum β-lactamase-producing Enterobacteriaceae. Among 288 travelers with travelers' diarrhea, the colonization rate without medications was 21%. For treatment with loperamide only, the rate was 20%; with antimicrobial drugs alone, 40

2016 Emerging Infectious Diseases

58. Fever of unknown origin in a patient initially presenting with traveller's diarrhoea Full Text available with Trip Pro

Fever of unknown origin in a patient initially presenting with traveller's diarrhoea A 17-year-old male presented with diarrhoea and malaise following his return from Kenya and Tunisia. He was managed as a case of traveller's diarrhoea. Stool cultures were negative for pathogenic bacterial growth. Two weeks later he presented with worsening lower back pain. MRI of lumbosacral spine suggested L1 osteomyelitis. CT-guided spinal aspirate grew no organisms and repeat viral serology and blood

2016 BMJ case reports

59. Clinical Trial of CBS-2004 in Prevention of Travelers' Diarrhea

Clinical Trial of CBS-2004 in Prevention of Travelers' Diarrhea Clinical Trial of CBS-2004 in Prevention of Travelers' Diarrhea - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Clinical Trial of CBS-2004 (...) in Prevention of Travelers' Diarrhea The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02736539 Recruitment Status : Withdrawn (Commercial strategy) First Posted : April 13, 2016 Last Update Posted : July 21, 2017 Sponsor: Clasado Biosciences Ltd Information provided by (Responsible Party): Clasado Biosciences

2016 Clinical Trials

60. Etiological Diagnosis of Traveler's Diarrhoea

Etiological Diagnosis of Traveler's Diarrhoea Etiological Diagnosis of Traveler's Diarrhoea - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Etiological Diagnosis of Traveler's Diarrhoea (DIAVOY) The safety (...) by (Responsible Party): Assistance Publique Hopitaux De Marseille Study Details Study Description Go to Brief Summary: Traveler's diarrhoea or turista is the most common disease in travelers. It has been reported based on studies in 20 to 60% of travelers, depending among other conditions and travel destinations. Currently, less than 30% of the etiology of diarrhoea is identified by bacteriological v,irological and parasitology traditional techniques. This ignorance of the diarrhoea etiology causes

2016 Clinical Trials

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