Author/Editor     Trampuž, Andrej; Pikelj, Franjo
Title     Driske, povezane s potovanjem
Translated title     Travel-related diarrhea
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 39, št. Suppl 1
Publication year     2000
Volume     str. 136-44
Language     slo
Abstract     Diarrhea is a major health problem among travellers to tropical and subtropical countries. Since the syndrome is most often caused by the ingestion of fecally contaminated food or beverages, precautions regarding dietary habits remain the cornerstone of prophylaxis. Antimicrobials are a successful form of prophylaxis, but are indicated only for specific cases. The key factor in the management of acute watery travellers' diarrhea is the restoration of water and electrolyte balance. Many patients require no additional therapy, whereas some need pharmacological treatment to shorten the duration of diarrhea or relieve the accompanying symptoms. Persistent diarrhea (duration >=14 days) occurs in about 3% of travellers who have acute diarrhea. The causative pathogens are usually the protozoa (Entamoeba histolytica, Giardia lamblia), helminths (Schistosoma mansoni/japonicum, Strongyloides stercoralis) or an opportunistic parasitic infestation associated with the HIV infection (Cryptosporidium parvum, Isospora belli, Cyclospora cayetanensis).
Summary     Driska predstavlja pogosto zdravstveno težavo pri popotnikih, ki potujejo v tropske in subtropske države. Večina drisk je povzročenih z uživanjem fekalno okužene hrane in pijače. Zato je pazljiva prehrana glavni ukrep za preprečevanje driske na potovanju. Preprečevanje z zdravili priporočamo le v posebnih primerih. V zdravljenju akutne vodene driske je najbolj pomembno nadomeščanje vode in soli. Večina bolnikov ne potrebuje dodatnega zdravljenja, z zdravili pa lahko skrajšamo trajanje driske in omilimo spremljajoče simptome. Dolgotrajna driska (s trajanjem >= 14 dni) se pojavlja pri približno 3 % popotnikov, ki so na potovanju zboleli z akutno drisko. Pogostejši povzročitelji so praživali (Entamoeba histolytica, Giardia lamblia), helminti (Schistosoma mansoni/japonicum, Strongyloides stercoralis) in oportunistične praživali, povezane s HIV-okužbo (Cryptosporidium parvum, Isospora belli, Cyclospora cayetanensis).
Descriptors     TRAVEL
DIARRHEA
CHEMOPREVENTION
TROPICAL CLIMATE