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Emporiatrics: Diarrhea in Travelers

Published online by Cambridge University Press:  21 June 2016

Timothy H. Holtz  and
Mary D. Nettleman
Timothy H. Holtz
Affiliation:
Department of Internal Medicine, the Program of Hospital Epidemiology, The University of Iowa Hospitals and Clinics, Iowa City, Zowa
Mary D. Nettleman*
Affiliation:
Department of Internal Medicine, the Program of Hospital Epidemiology, The University of Iowa Hospitals and Clinics, Iowa City, Zowa
*
Program of Hospital Epidemiology, C41 GH, University of Iowa Hospitals and Clinics, Iowa City, IA 52242
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Extract

The litany of scatalogical euphemisms describing travelers’ diarrhea sounds more like a line-up for a horse race: turista, Aztec two-step, Ramses’ revenge, Casablanca crud, Bombay runs, Delhi belly and Tokyo trots. While the winner in this race is uncertain, the loser is the poor traveler whose most memorable image of an expensive, exotic vacation was a desperate search for bathrooms or confinement to a hotel room while others were enjoying the sights. Though self-limited and relatively mild compared to some diseases acquired abroad, the impact of travelers’ diarrhea on the traveler should not be underestimated.

Type
Emporiatrics
Information
Infection Control & Hospital Epidemiology , Volume 11 , Issue 11 , November 1990 , pp. 606 - 610
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1990

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References

1. Gorbach, SL. Travelers’ diarrhea: National Institutes of Health consensus development conference. Rev Infect Dis. 1986;8(suppl 2):S109–S110.10.1093/clinids/8.Supplement_2.S109CrossRefGoogle Scholar
2. Steffen, R. Epidemiologic studies of travelers’ diarrhea, severe gastrointestinal infections and cholera. Rev Infect Dis. 1986;8(suppl 2):S122–SS130.CrossRefGoogle ScholarPubMed
3. Black, RE. Epidemiology of travelers’ diarrhea and relative importance of various pathogens. Rev Infect Dis. 1990;12:S73–S79.CrossRefGoogle ScholarPubMed
4. Gianella, RA, Broitman, SA, Zamcheck, N. Influence of gastric acidity on bacterial and parasitic enteric infections. Ann Int Med. 1973;78:271–276.CrossRefGoogle Scholar
5. Steffen, R. Epidemiology of diarrhea in travelers. JAMA. 1983;249:1176–1180.10.1001/jama.1983.03330330054035CrossRefGoogle ScholarPubMed
6. Dannenberg, AL, Yashuk, JC, Kaldman, RA. Gastrointestinal illness on passenger cruise ships, 1975-78 . Am J Public Health. 1982;72:484–488.CrossRefGoogle Scholar
7. Wanger, AR, Murray, BE, Echeverria, P. Enteroinvasive Escherichia coli in travelers with diarrhea. J Infect Dis. 1988;158:640–642.CrossRefGoogle ScholarPubMed
8. MacDonald, KL, Cohen, ML. Epidemiology of travelers’ diarrhea: current perspectives. Rev Infect Dis. 1986;8(suppl 2):S117–Sl21.CrossRefGoogle ScholarPubMed
9. Matthewson, JJ, Johnson, PC, DuPont, HL, et al. A newly recognized cause of travelers’ diarrhea: enteroadherent Escherichia coli . J Infect Dis. 1985;151:471–475.CrossRefGoogle Scholar
10. Taylor, DN, Echeverria, P. Etiology and epidemiology of travelers’ diarrhea in Asia. Rev Infect Dis. 1986;8(suppl 2):S136–S141.10.1093/clinids/8.Supplement_2.S136CrossRefGoogle ScholarPubMed
11. Taylor, DN, Echeverria, P, Blaser, MJ. Polymicrobial etiology of travelers’ diarrhea. Lancet. 1985:381–383.Google Scholar
12. Walsh, JA. Estimating the burden of illness in the tropics. In: Warren, KS, Mahmoud, AAF, eds. Tropical and Geographic Medicine. New York, NY:McGraw Hill; 1990:185–196.Google Scholar
13. Echeverria, P, Blacklow, NR, Sanford, LB. Travelers’ diarrhea among American Peace Corps volunteers in rural Thailand. J Infect Dis. 1981;143:767–771.CrossRefGoogle ScholarPubMed
14. Hrdy, DB. Epidemiology of rotaviral infection in adults. Rev Infect Dis. 1987;9:461–469.CrossRefGoogle ScholarPubMed
15. Weinke, T, Friedrich-Janicke, B, Hopp, P, Janitschke, K. Prevalence and clinical importance of Entamoeba histolytica in two high-risk groups: travelers returning from the tropics and male homosexuals. J Infect Dis. 1990;161:1029–1031.CrossRefGoogle ScholarPubMed
16. Merson, MH, Morris, GK, Sack, DA, et al. Travelers’ diarrhea in Mexico: a prospective study of physicians and family members attending a congress. N Engl J Med. 1976;294:1299–1305.CrossRefGoogle ScholarPubMed
17. Jokipii, L, Jokipii, AMM. Giardiasis in travelers: a prospective study. J Infect Dis. 1974;130:295–299.CrossRefGoogle Scholar
18. Soave, R, Ma, P. Cryptosporidiosis: travelers diarrhea in two families. Arch Intern Med. 1985;145:70–72.CrossRefGoogle Scholar
19. Taylor, DN, Houston, R, Shlim, DR, Bhaibulaya, M, Ungar, BL, Echeverria, P. Etiology of diarrhea among travelers and foreign residents in Nepal. JAMA. 1988;260:1245–1248.CrossRefGoogle ScholarPubMed
20. Ungar, BLP, Mulligan, M, Nutman, TB. Serologic evidence of Cryptosporidium infection in U.S. volunteers before and during Peace Corps sevicem Africa. Arch Intern Med. 1989;149:894–897.CrossRefGoogle ScholarPubMed
21. Wolfe, MS. Acute diarrhea associated with travel. Am J Med. 1990;88(suppl 6A):S34–S37.CrossRefGoogle ScholarPubMed
22. Shaffer, N, Moore, L. Chronic travelers’ diarrhea in a normal host due to Isospora belli . J Infect Dis. 1989;159:596–597.CrossRefGoogle Scholar
23. Farrar, WE. Antibiotic resistance in developing countries. J Infect Dis. 1985;152:1103–1106.CrossRefGoogle ScholarPubMed
24. Murray, BE. Resistance of Shigella, Salmonella and other enteric pathogens to antimicrobial agents. Rev Infect Dis. 1986;8(suppl 2):S172–S181.10.1093/clinids/8.Supplement_2.S172CrossRefGoogle ScholarPubMed
25. Santosham, M, Sack, RB, Froehlich, J, et al. Biweekly prophylactic doxycycline for travelers’ diarrhea. J Infect Dis. 1981;143:598–602.CrossRefGoogle ScholarPubMed
26. Murray, BE, Alvarado, T, Kim, KH. Increasing resistance to trimethoprim-sulfamethoxazole among isolates of Escherichia coli in developing countries. J Infect Dis. 1985;152:1107–1113.CrossRefGoogle ScholarPubMed
27. Sack, DA, Kaminsky, DC, Sack, RB, et al. Prophylactic doxycycline for travelers’ diarrhea: results of a prospective double-blind study of Peace Corps volunteers in Kenya. N Engt J Med. 1978;298:758–763.10.1056/NEJM197804062981402CrossRefGoogle ScholarPubMed
28. Addiss, DG, Tauxe, RV, Bernard, KW. Chronic diarrheal illness in US. Peace Corps volunteers. Int J Epidemiol. 1990;19:217–218.CrossRefGoogle Scholar
29. Gorbach, SL. Travelers’ diarrhea. N Engt J Med. 1982;307:881–883.CrossRefGoogle Scholar
30. Ericsson, CD, DuPont, HL, Mathewson, JJ, West, S, Johnson, PC, Bitsura, JM. Treatment of travelers’ diarrhea with sulfamethoxazole and trimethoprim and loperamide. JAMA. 1990;263:257–261.CrossRefGoogle Scholar
31. Gotuzzo, E, Oberhelman, RA, Maguina, C, et al. Comparison of single-dose treatment with norfloxacin and standard 5-day treatment with trimethoprim-sulfamethoxazole for acute shigellosis in adults. Antimicrob Agents Chemother. 1989;33:1101–1104.CrossRefGoogle ScholarPubMed
32. Murray, BE, Alvarado, T, Kim, K-H, et al. Increasing resistance to trimethoprim-sulfamethoxazole among isolates of E.coli in developing countries. J Infect Dis. 1985;152:1107–1113.CrossRefGoogle ScholarPubMed
33. Ericsson, CD, Johnson, PC, DuPont, HL, Morgan, DR, Bitsura, JM, de la Cabada, FJ. Ciprofloxacin or trimethoprim-sulfamethoxazole as initial therapy for travelers’ diarrhea. Ann Intern Med. 1987;106:216–220.CrossRefGoogle ScholarPubMed
34. Wistrom, J, Jertborn, M, Hedstrom, S, et al. Short-term self-treatment of travellers’ diarrhea with norfloxacin: a placebo-controlled study. J Antimicmb Agents Chemother. 1989;23:905–913.CrossRefGoogle ScholarPubMed
35. DuPont, HL, Sullivan, P, Picering, LK, Haynes, G, Ackerman, PB. Symptomatic treatment of diarrhea with bismuth subsalicylate among students attenting a Mexican university. Gasteroenterology. 1977;73:715–718.CrossRefGoogle Scholar
36. Johnson, PC, Ericsson, CD, DuPont, HL, Morgan, DR, Bitsura, JA, Wood, LV. Comparison of loperamide with bismuth subsalicylate for the treatment of acute travelers’ diarrhea. JAMA. 1986;255:757–760.10.1001/jama.1986.03370060071021CrossRefGoogle ScholarPubMed
37. Rademaker, CMA, Hoepelman, IM, Wolfhagen, MJHM, Beumer, H, Rosenberg-Arska, M, Verhoef, J. Results of a double-blind placebo-controlled study using ciprofloxacin for prevention of travelers’ diarrhea. Eur J Clin Microbiol Infect Dis. 1989;8:690–694.CrossRefGoogle ScholarPubMed
38. Scott, DA, Haberberger, RL, Thornton, SA, Hyams, KC. Norfloxacin for the prophylaxis of travelers’ diarrhea in US. military personnel. Am J Trop Med Hyg. 1990;42:160–164.CrossRefGoogle Scholar
39. DuPont, HL, Ericsson, CD, Johnson, PC, Bitsura, JM, DuPont, MW, de la Cabada, FJ. Prevention of travelers’ diarrhea by the tablet formulation of bismuth subsalicylate. JAMA. 1987;257:1257–1350.CrossRefGoogle ScholarPubMed
40. Ferenchik, GS, Havlichek, DH. Primary prevention and international travel: infections, immunizations and antimicrobial prophylaxis. J Gen Intern Med. 1989;4:247–258.CrossRefGoogle Scholar
41. Kozicki, M, Steffen, R, Schar, M. ‘Boil it, cook it, peel it or forget it’: does this rule prevent travelers’ diarrhea? Int J Epidemiol. 1985;14:169–172.CrossRefGoogle Scholar
42. Blaser, MJ. Environmental intervention for the prevention of travelers’ diarrhea. Rev Infect Dis. 1986;8(suppl 2):S142–S150.10.1093/clinids/8.Supplement_2.S142CrossRefGoogle Scholar