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Titolo:
Occurrence and self-treatment of diarrhea in a large cohort of Americans traveling to developing countries
Autore:
Hill, DR;
Indirizzi:
Univ Connecticut, Ctr Hlth, Div Infect Dis, Sch Med,Int Travelers Med Serv, Farmington, CT 06030 USA Univ Connecticut Farmington CT USA 06030 d Serv, Farmington, CT 06030 USA
Titolo Testata:
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
fascicolo: 5, volume: 62, anno: 2000,
pagine: 585 - 589
SICI:
0002-9637(200005)62:5<585:OASODI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH ADVICE; TRIMETHOPRIM-SULFAMETHOXAZOLE; CLINICAL-FEATURES; ESCHERICHIA-COLI; EPIDEMIOLOGY; LOPERAMIDE; ETIOLOGY; CIPROFLOXACIN; RESISTANCE; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Hill, DR Univ Connecticut, Ctr Hlth, Div Infect Dis, Sch Med,Int TravelersMed Serv, Room L-2071, Farmington, CT 06030 USA Univ Connecticut Room L-2071 Farmington CT USA 06030 CT 06030 USA
Citazione:
D.R. Hill, "Occurrence and self-treatment of diarrhea in a large cohort of Americans traveling to developing countries", AM J TROP M, 62(5), 2000, pp. 585-589

Abstract

There is little information available regarding traveler's diarrhea that affects a large number of Americans who differ widely in age and travel destination, and little or no information exists on self-treatment. This paper describes the clinical features, self-treatment, and outcome of diarrhea in784 (95% follow-up) Americans who traveled for less than or equal to 90 days, and who received detailed pre-travel advice. Diarrhea was reported by 46%. Of these, 34% (n = 270) had traveler's diarrhea (TD) defined as greaterthan or equal to 3 unformed stools/day +/- enteric symptoms or < 3 stools/day with <greater than or equal to> 1 enteric symptom, and 11% (n = 88) hadloose motions (LM). Diarrhea was often severe and nearly a quarter of people with TD experienced fever and vomiting and 35% were required to alter their plans. The duration of travel and the destination itself were the strongest influences on diarrhea. Most travelers treated the illness themselves,whether or not they had LM (72%) or TD (83%). Those with LM took an antimotility agent or bismuth subsalicylate alone more frequently than those withTD (71% versus 48%, P < 0.002). Conversely, antibiotics were taken more frequently by those with TD (47% versus 27%, P < 0.03). Overall, 83% indicated self-treatment was effective (91% with LM and 80% with TD). Diarrhea is common despite pre-travel advice. Because travelers usually treat themselves, they should be provided with clear instructions on appropriate self-treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 02:22:40