Author/Editor		Logar, Mateja
Title		Driska pri popotnikih
Translated title		Travellers' diarrhea
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 46, št. Suppl 2
Publication year		2007
Volume		str. 121-31
Language		slo
Abstract		Travellers' diarrhea is a major public health problem, contributing to significant morbidity and disability. Bacterial enteropathogens cause a majority of cases involving this form of diarrhea. Traveller's diarrhea affects over 50% of travellers to some destinations and can disrupt holidays and business trips. Diarrhea usually begins within the first two weeks of travel, symptoms last for three to four days. Although travelers may be given common sense advice of avoidance of high-risk food and other measures to prevent travellers' diarrhea, adherence to such advice is sometimes difficult and the evidence for its effectiveness is contradictory. However, non-antimicrobial means for prevention are favored in most setting. The aim of treatment is to reduce the severity and the duration of symptoms. A simple stepwise approach to the management of travellers' diarrhea includes single dose or 3-day course of antimicrobials, often self administered. The antibiotics of choice are currently fluoroquinolones or azithromycin, with an emerging role of rifaximin. It appears possible to decrease the rate of illness among travellers by careful selection of food and beverage and through chemoprophylaxis with rifaximin.
Descriptors		TRAVEL DIARRHEA RISK FACTORS FOOD CONTAMINATION