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Traveler’s Diarrhea

John P. Barrett, MD, MPH, MS, FAAFP, FACPM Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Traveler’s diarrhea (TD) is the most common medical condition experienced in travelers from more developed to resource-limited countries.

  • TD is acute diarrhea that develops at travel ...

DIAGNOSIS

HISTORY

  • Travel itinerary

  • Type and duration of symptoms

  • Description and number of stools

  • Associated symptoms: fever, pain, etc.

  • Dietary and personal hygiene practices during travel

  • Additional medic...

TREATMENT

GENERAL MEASURES

  • General prevention measures—hand hygiene, proper food and water preparation and storage

  • Attain prompt medical care for severe dehydration and/or severe pain.

  • Consider carrying ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

None unless persistent symptoms or dehydration 

Patient Monitoring

  • None for most travelers

  • Fluid status for geriatric, young kids, and those with chronic medical con...

REFERENCES

1
Riddle MS, DuPont HL, Connor BA. ACG clinical guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol.  2016;111(5):602–622. [View ...

ADDITIONAL READING

  • Ashkenazi S, Schwartz E, O’Ryan M. Travelers’ diarrhea in children: what have we learnt? Pediatr Infect Dis J.  2016;35(6):698–700. [View Abstract on OvidMedline]

  • DuPont HL. Per...

SEE ALSO

Diarrhea, Acute; Diarrhea, Chronic; Diarrhea, Pediatric 

CODES

ICD10

R19.7 Diarrhea, unspecified 

ICD9

787.91 Diarrhea 

SNOMED

  • 11840006 Traveler’s diarrhea

  • 409966000 Acute diarrhea

  • 62315008 Diarrhea

CLINICAL PEARLS

  • Many travelers visiting less developed countries will experience TD.

  • Most TD is caused by bacterial pathogens; regional differences guide treatment.

  • Most TD is mild and self-limited and ...

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