Clinical Case Database / Category: Patient Management
Diarrhoea in the returned traveller
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)
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.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database||£29.00||6 months|
|Foundation Years Clinical Cases Database||£39.00||12 months|
Aysha Rashid, MBBS BSc (Hons)
Countess of Chester Hospital NHS Foundation Trust
The Countess Of Chester Health Park
Liverpool Road, Chester, Cheshire, CH2 1UL
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
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.
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.