Author/Editor		Škraba, Anja; Petrič, Primož
Title		Potovalna driska: preprečevanje in zdravljenje
Translated title		Traveller's diarrhoea: prevention and treatment
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 38, št. Suppl 8
Publication year		1999
Volume		str. 73-82
Language		slo
Abstract		Traveller's diarrhea is the most common health problem for tourists travelling to underdeveloped countries. Although the disease is most often mild and self-limited, tourists are often forced to change their plans due to it. Most cases of traveller's diarrhoea are infectious in origin. The main source of infection is fecally contaminated food and to a lesser extent, water. The best way to avoid diarrhea is to consider general recommendations regarding food consumption and hygiene during travelling. The best protection against diarrhea is offered by antimicrobial drugs, but they can only be used by a limited group of people, mostly those who are immunocompromised or expected to have a more severe course of the disease. The prophylactic drugs most commonly used today are qiunolones. The most important measure in treating diarrhea is substituting fluids and electrolytes, which is sufficient in mild diarrhoea. In more serious cases, however, the course of the disease can be shortened and the symptoms relieved with drug therapy. The drugs of choice in the therapy of diarrhea are quinolones. Tourists are also advised to take loperamide on the trip.
Summary		Potovalna driska predstavlja najpogostejši zdravstveni problem potnikov, ki potujejo v manj razvite predele sveta. Čeprav je bolezen običajno blaga in mine sama, potnika večkrat prisili k spremembi potovalnega načrta. Pri večini drisk je vzrok črevesna okužba. Glavni vir okužbe je fekalno kontaminirana hrana, redkeje voda. Temelj zaščite pred potovalno drisko predstavlja upoštevanje splošnih priporočil glede prehranjevanja in higiene na potovanju. Najbolj uspešno zaščito nudijo protimikrobna zdravila, ki pa pridejo v puštev le pri posameznih skupinah ljudi, predvsem pri tistih z večjo nagnenostjo k okužbi ali hujšem poteku bolezni. Profilaktično zdravilo izbora so danes kinoloni. Glavni ukrep pri zdravljenju potovalne driske je nadomeščanje tekočine in elektrolitov. Pri blagi driski to zadostuje. V hujših primerih lahko z zdravili skrajšamo potek bolezni in omilimo simptome. Tudi v zdravljenju driske so zdravilo izbora kinoloni. Potniku svetujemo, naj na pot vzame še protimotilitetno zdravilo loperamid.
Descriptors		TRAVEL DIARRHEA