Travelers’ diarrhea: Clinical practice guidelines for pharmacists

Fernandes, Heidi V J; Houle, Sherilyn K.D.; Johal, Ajit; Riddle, Mark S.

doi:10.1177/1715163519853308

Cited by 4 publications

(3 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the Committee to Advise on Tropical Medicine and Travel and the International Society of Travel Medicine, all high-risk passengers should be directed toward travel medicine professionals who have experience providing specialized care and attending to these specific needs [ 21 ]. All the patients who come in should be often questioned about their plans to travel overseas, particularly to a developing country [ 22 ]. Pharmacists need to be concerned about the traveler's multidimensional travel risk against antibiotic use when traveling abroad [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

Public Health Importance of Emporiatrics: A Review

Mehendale¹,

Vaishnav²,

Joshi³

et al. 2023

Cureus

View full text Add to dashboard Cite

People travel all around the world to explore, trade, sojourn, etc. Millions of individuals cross national and international borders. Travel medicine services are offered by general practitioners, specialized travel clinics, or immunization centers. Epidemiology, illness prevention, and travel-related self-treatment are all included in the interdisciplinary field of travel medicine. The main objective is to keep travelers alive and in good health, by reducing the effects of illness and accidents through preventative measures and self-care. The danger to a traveler's health and well-being must be understood, and the travel medicine practitioner's job is to help their patient or client recognize and manage those risks. The absence of any disease or symptom does not always indicate good health. Chronic illness sufferers, including those with cancer, diabetes, and hypertension, can maintain a reasonable level of health and mobility. Travel medicine is a rapidly developing, extremely dynamic, multidisciplinary field that calls for knowledge of a range of travelrelated illnesses as well as current information on the global epidemiology of infectious and non-infectious health risks, immunization laws and requirements around the world, and the shifting trends in drugresistant infections. Pre-travel consultation aims to reduce the traveler's risk of disease and harm while on the road through preventive counseling, education, recommended drugs, and essential vaccines. Specialized medical guidance can help reduce the potential health risks of travel. Emporiatrics is not only used for traveling advice or things to be done during the period of the journey but it also creates room in implementing the interdisciplinary subject with new methods or development of new policies, technologies, and various programs to reduce unnecessary problems of the travelers, which will boost tourism.

show abstract

Section: Reviewmentioning

confidence: 99%

Public Health Importance of Emporiatrics: A Review

Mehendale¹,

Vaishnav²,

Joshi³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Its aetiology is predominantly bacterial (in approximately 80–90% of cases), but it can also be caused by parasites such as Giardia intestinalis, Cryptosporidium spp., and Blastocystis spp. [ 2 ]. Patients suffer from abdominal pains, flatulence, nausea, and numerous loose watery stools.…”

Section: Introductionmentioning

confidence: 99%

Parasitic infections among patients hospitalized in the Tropical and Parasitic Clinic of Poznan University of Medical Sciences, Poland between 2015 and 2018. Is there a relationship between protozoa infection and gastrointestinal symptoms?

Pielok

Kłudkowska

Frąckowiak

et al. 2022

View full text Add to dashboard Cite

Introduction: Diarrhoea is a common reason for hospitalization among travellers returning from the tropics. The aetiology is predominantly bacterial, but it can also be caused by parasites such as Giardia intestinalis, Cryptosporidium spp., and Blastocystis spp.Aim: We analysed patients from the Poznan Tropical and Parasitic Clinic to evaluate the presence of parasitic infections and to find correlations between infections, journeys, and gastrointestinal symptoms.Material and methods: In our study we examined 2561 stool samples obtained from patients hospitalized in the Tropical and Parasitic Department of Poznan Medical University, Poland. Microscopic examinations of samples were performed based on a direct thin smear in 0.9% NaCl, which allowed the assessment of the presence of protozoa life stages.Results: In 106 (4.14%) of the 2561 examined samples we detected parasites, mainly from people coming back from tropical areas (61.32%). Mostly we detected Blastocystis sp. and Giardia intestinalis. Fifty percent of patients suffered from gastrointestinal symptoms, so careful microscopic stool examination should be performed in every case in which intestinal pathology occurs, and certainly in travelling individuals.Conclusions: Traveling is a real risk factor for protozoa infection. The most common parasites detected in the stool are Blastocystis sp. and Giardia intestinalis. Parasitic coinfection should be taken into consideration as a pathologic agent in patients suffering from abdominal signs and persistent diarrhoea. Prolonged protozoa infection and its role in microbiota alterations requires further investigation.Parasitic infections among patients hospitalized in the Tropical and Parasitic Clinic of

show abstract

“…As a result of the newly developing serious issues about the resistance of bacteria to the different antibiotics, the management guidelines of traveler's diarrhea are frequently changing based on this new data to ensure that proper management is delivered to the affected patients and enhance the healthcare practices. 3,4 In the present study, we aim to discuss the diagnosis, treatment, and prophylaxis against traveler's diarrhea based on data from investigations in the literature.…”

mentioning

confidence: 99%

Prophylaxis, diagnosis, and treatment of Traveler’s diarrhea

Al-Ghamdi

Altokhy

Jalalah

et al. 2021

Int J Community Med Public Health

View full text Add to dashboard Cite

Evidence still indicates that traveler’s diarrhea might have unpleasant consequences over the affected patients’ time and health, and can increase the frequency of hospitalization and other health-related parameters. As a result of the newly developing serious issues about the resistance of bacteria to the different antibiotics, the management guidelines of traveler’s diarrhea are frequently changing based on this new data to ensure that proper management is delivered to the affected patients and enhance the healthcare practices. In the present literature review, we have discussed the diagnosis, treatment, and prophylaxis against traveler’s diarrhea based on evidence from the current investigations in the literature. The diagnosis of the condition is mainly based on the presence of symptoms suggestive of gastroenteritis, and having a travel history to an endemic country. Besides, cultures might be needed in certain situations to indicate the diagnosis, especially among resistant cases. The best prophylactic approach is to enhance the eating and drinking practices when travelling to endemic countries, in addition to the frequent washing of ingested food by clean water that is obtained from a safe source. The administration of antibiotics is not always recommended, and only moderate and severe cases should be indicated to receive antibiotics based on their clinical evaluation. The administered antibiotics should be based on the resistance and safety profiles among each country to enhance the efficacy of these antibiotics and obtain favorable outcomes.

show abstract

Travelers’ diarrhea: Clinical practice guidelines for pharmacists

Cited by 4 publications

References 41 publications

Public Health Importance of Emporiatrics: A Review

Public Health Importance of Emporiatrics: A Review

Parasitic infections among patients hospitalized in the Tropical and Parasitic Clinic of Poznan University of Medical Sciences, Poland between 2015 and 2018. Is there a relationship between protozoa infection and gastrointestinal symptoms?

Prophylaxis, diagnosis, and treatment of Traveler’s diarrhea

Contact Info

Product

Resources

About