Clinical Case Database / Category: Patient Management

Diarrhoea in the returned traveller

Publication details

Aysha Rashid, MBBS BSc (Hons), Michael BJ Beadsworth BSc, FRCP, DTM&H, MD
Foundation Years Journal, volume 9, issue 5, p.17 (123Doc Education, London, May 2015)

Abstract

With increasing travel, worldwide from the UK, travel related pathologies increase in importance. Before a travel related diagnosis can be made, an appropriate history of travel is vital. We highlight, both reasons why and how to undertake an appropriate travel history. Furthermore, we discuss aetiology, and management of travel-related diarrhoea and in particular we focus on shigellosis, its pathophysiology, and recent changes in anti-microbial management.

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Authors

Aysha Rashid, MBBS BSc (Hons)

Countess of Chester Hospital NHS Foundation Trust
The Countess Of Chester Health Park
Liverpool Road, Chester, Cheshire, CH2 1UL
aysharashid@nhs.net

Michael BJ Beadsworth BSc, FRCP, DTM&H, MD (Corresponding author)

Consultant in Infectious Diseases and Tropical Medicine
Tropical and Infectious Disease Unit
Royal Liverpool University Hospital Trust, Liverpool, L7 8XP
Consultant in Clinical Pharmacology
Honorary Fellow Liverpool School of Tropical Medicine
Honorary Senior Lecturer Institute of Translational Medicine
University of Liverpool
Mike.Beadsworth@rlbuht.nhs.uk

References

1. Freedman DO, Weld LH, Kozarsky PE et al. Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med 2006 354:119-30
2. United Nations World Tourism Organisation (2013). UNWTO Tourism highlights 2013 edition. UNWTO, Madrid, Spain. Available at http://mkt.unwto.org/publication/unwto-tourism-highlights-2013-edition (accessed Jan 2015)
3. United Kingdom Office for National Statistics (2013). Travel Trends 2013. Available at http://www.ons.gov.uk/ons/rel/ott/travel-trends/2013/rpt-travel-trends--2013.html (accessed Jan 2015)
4. Price VA, Smith RA, Douthwaite S, et al. General physicians do not take adequate travel histories. J Travel Med 2011 18:271-4
5. Greenwood Z, Black J, Weld L et al. Gastrointestinal infection among international travelers globally. J Travel Med 2008 15:221-8
6. Shlim DR. Looking for evidence that personal hygiene precautions prevent traveler's diarrhea. Clin Infect Dis. 2005 Dec 1;41 Suppl 8:S531-5.
7. Swaminathan A, Torresi J, Schlagenhauf P et al. A global study of pathogens and host risk factors associated with infectious gastrointestinal disease in returned international travellers. J Infect 2009 59:19-27
8. Steffen R. Epidemiology of traveler's diarrhea. Clin Infect Dis 2005 41:S536–S540.
9. Steffen R, Tornieporth N, Clemens SA et al. Epidemiology of travelers' diarrhea: details of a global survey. J Travel Med 2004 11:231-7.
10. Al-Abri SS, Beeching NJ, Nye FJ. Traveller's diarrhoea. Lancet Infect Dis 2005 5:349-60.
11. Lewis JM, Goodwin L, Beadsworth MB. The returning traveller with diarrhoea. Br J Hosp Med (Lond). 2014 Sep;75(9):C133-6.
12. Shah N, DuPont HL, Ramsey DJ. Global etiology of travelers' diarrhea: systematic review from 1973 to the present. Am J Trop Med Hyg 2009 80:609-14.
13. Rabia Agha, Marcia B Goldberg. Shigella infection: Clinical manifestations and diagnosis. In: UpToDate, Post, TW (Ed), UpToDate, Waltham, MA, 2014. (Accessed Jan 2015)
14. Marcia B Goldberg. Shigella infection: Epidemiology, microbiology, and pathogenesis. In: UpToDate, Post, TW (Ed), UpToDate, Waltham, MA, 2014. (Accessed Jan 2015)
15. Rabia Agha, Marcia B Goldberg. Shigella infection: Treatment and prevention in adults. In: UpToDate, Post, TW (Ed), UpToDate, Waltham, MA, 2014. (Accessed Jan 2015)
16. DuPont HL, Hornick RB. Adverse Effect of Lomotil Therapy in Shigellosis JAMA 1973 226:1525-1528.
17. Connor BA, Riddle MS. Post-infectious sequelae of travelers' diarrhea. J Travel Med 2013 20:303-12.

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