Author/Editor		Petrič, Primož; Škraba, Anja
Title		Potovalna driska: preprečevanje in zdravljenje
Translated title		Traveler's diarrhoea: prevention and treatment
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 8
Publication year		2000
Volume		str. 25-33
Language		slo
Abstract		Traveler's diarrhoea 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 compelled 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. There are two most important ways of protection from traveller's diarrhoea. The basic way to avoid diarrhoea is to consider general recommendations regarding food consumption and hygiene during travelling. The second way is by means of antimicrobial drugs which offer the best protection, but their use is justified only in a limited group of people, mostly those who are immunocompromised or are expected to have a more severe course of disease. The prophylactic drugs of choice today are quinolones. In treatment of diarrhoea, the most important measure is substitution of fluids and electrolytes. With mild diarrhoea this is sufficient. In more serious cases the course of disease can be shortened and the symptoms relieved with drug therapy. Quinolones are drugs of choice in therapy of diarrhoea. 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 hrana, onesnažena z iztrebki, redkeje voda. Obstajata dva glavna načina zaščite pred potovalno drisko. Temelj zaščite predstavlja upoštevanje splošnih priporočil glede prehranjevanja in higiene na potovanju. Drugi način zaščite pa so protimikrobna zdravila, ki so načeloma veliko uspešnejša, vendar je njihova uporaba upravičena le pri posameznih skupinah ljudi, predvsem pri tistih z večjo nagnjenostjo k okužbi ali k hujšemu poteku bolezni. Zdravila izbora za zaščito so danes kinoloni. Pri zdravljenje potovalne driske je glavni ukrep 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 protimikrobno zdravilo izbora kinoloni. Potniku pa svetujemo, naj na pot vzame še protimotilitetno zdravilo loperamid.
Descriptors		TRAVEL DIARRHEA CHEMOPREVENTION ANTIBIOTIC PROPHYLAXIS BISMUTH SALICYLATES FLUID THERAPY REHYDRATION SOLUTIONS LOPERAMIDE HEALTH EDUCATION SELF CARE