Vacation diarrhea. How should it be managed?
Traveler's diarrhea in North America is most often a self-limited disease that requires little medical intervention unless the course is prolonged or especially severe. Diagnosis is almost always made by a stool examination or culture. The most common causative organisms are Campylobacter jejuni and Giardia lamblia. Enterotoxigenic Escherichia coli is a less frequent cause. Patients should be advised regarding the need for fluid replacement. Antibiotic therapy should be considered only in rare circumstances.
Department of Family Practice, Hennepin County Medical Center, Minneapolis, MN 55408.
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D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002167:Campylobacter / Q000302:isolation & purification; D002169:Campylobacter Infections / Q000209:etiology* / Q000628:therapy; D003967:Diarrhea / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000209:etiology* / Q000628:therapy; D005243:Feces / Q000382:microbiology; D005260:Female; D005440:Fluid Therapy; D005516:Food Microbiology; D005872:Giardia / Q000302:isolation & purification; D005873:Giardiasis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D014195:Travel; D014481:United States
D000900:Anti-Bacterial Agents