Update on military diarrhoea: current status and future plans

Connor, Patrick; Gutiérrez, Ramiro L.

doi:10.1136/jramc-2013-000091

Cited by 9 publications

(10 citation statements)

References 46 publications

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“…1,8,52–54 The position of the DoD is to have people report for care when experiencing symptoms in order to capture information about potential illnesses and injuries. Among deployed personnel, this often means talking to a unit medic or corpsman, who can appropriately triage the patient.…”

Section: Methodsmentioning

confidence: 99%

Management of Acute Diarrheal Illness During Deployment: A Deployment Health Guideline and Expert Panel Report

et al. 2017

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Background Acute diarrheal illness during deployment causes significant morbidity and loss of duty days. Effective and timely treatment is needed to reduce individual, unit, and health system performance impacts. Methods This critical appraisal of the literature, as part of the development of expert consensus guidelines, asked several key questions related to self-care and healthcare-seeking behavior, antibiotics for self-treatment of travelers’ diarrhea, what antibiotics/regimens should be considered for treatment of acute watery diarrhea and febrile diarrhea and/or dysentery, and when and what laboratory diagnostics should be used to support management of deployment-related travelers’ diarrhea. Studies of acute diarrhea management in military and other travelers were assessed for relevance and quality. Based on this critical appraisal, guideline recommendations were developed and graded by the Expert Panel using good standards in clinical guideline development methodology. Results New definitions for defining the severity of diarrhea during deployment were established. A total of 13 graded recommendations on the topics of prophylaxis, therapy and diagnosis, and follow-up were developed. In addition, four non-graded consensus-based statements were adopted. Conclusions Successful management of acute diarrheal illness during deployment requires action at the provider, population, and commander levels. Strong evidence supports that single-dose antimicrobial therapy is effective in most cases of moderate to severe acute diarrheal illness during deployment. Further studies are needed to address gaps in available knowledge regarding optimal therapies for treatment, prevention, and laboratory testing of acute diarrheal illness.

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Section: Methodsmentioning

confidence: 99%

Management of Acute Diarrheal Illness During Deployment: A Deployment Health Guideline and Expert Panel Report

et al. 2017

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“…Our data may also help develop research priorities within the DMS. Notably military research into Q fever,26 travellers’ diarrhoea,27 bacterial skin infections28 and tuberculosis,18 conditions all seen frequently at Role 4, is currently underway or been recently performed. This research, and our data on the clinical burden, will help inform military specific clinical guidance and policies.…”

Section: Discussionmentioning

confidence: 99%

UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013

Burns

Riley²,

Mason³

et al. 2017

J R Army Med Corps

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UK service personnel in significant numbers continue to suffer a wide range of infectious diseases, acquired throughout the globe, which often require specialist tertiary infection services to diagnose and manage. Future prospective data collection is recommended to identify trends, which in turn will inform military training needs and future research priorities in the Defence Medical Services (DMS) and allows development of appropriate policies and clinical guidelines for management of DMS personnel with infectious diseases.

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“…Similar concerns were expressed on the accuracy of returns secondary to human interpretation 10. Flaws were recognised in the acquisition of data on diarrhoeal diseases 12. In one report, 5% of patients (n=102) on a 6-month operational tour in a forward operating base were coded into EPINATO category 16, whereas only 0.2% were described in category 20 (Table 1), which is likely to represent mistakes in coding.…”

Section: Introductionmentioning

confidence: 99%

Exercise ASKARI SERPENT: enabling clinical data collection during exercises and operations to support future contingency planning and assurance of category-based reporting systems

Parsons

Wheatley²,

Carter³

2015

J R Army Med Corps

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A Read-coded matrix built on CMT protocols is a simple and useful tool, particularly in civilian populations, for collecting morbidity data with the vast majority of conditions accounted for in the protocols. It is anticipated that such a system can better inform training, manning, medical material and pharmaceutical procurement than current category-based morbidity surveillance systems such as EPINATO (NATO epidemiological data). There is clear advantage to directly linking data capture to treatment algorithms. Accuracy, both in terms of numbers and condition, is likely improved. Data is also captured contemporaneously rather than after indeterminate time. Read coding has the added benefit of being an established electronic standard. In addition, the system would support traditional reporting methods such as EPINATO by providing increased assurance.

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Update on military diarrhoea: current status and future plans

Cited by 9 publications

References 46 publications

Management of Acute Diarrheal Illness During Deployment: A Deployment Health Guideline and Expert Panel Report

Management of Acute Diarrheal Illness During Deployment: A Deployment Health Guideline and Expert Panel Report

UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013

Exercise ASKARI SERPENT: enabling clinical data collection during exercises and operations to support future contingency planning and assurance of category-based reporting systems

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