Monday, June 12, 2017

Travelers diarrhea


From a BMJ review:



Enterotoxic Escherichia coli (ETEC) is the most common cause of acute travellers’ diarrhoea globally



Chronic (greater than 14 days) diarrhoea is less likely to be caused by bacterial pathogens



Prophylactic antibiotic use is only recommended for patients vulnerable to severe sequelae after a short period of diarrhoea, such as those with ileostomies or immune suppression



A short course (1-3 days) of antibiotics taken at the onset of travellers’ diarrhoea reduces the duration of the illness from 3 days to 1.5 days

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