title: [Traveller's diarrhoea].
abstract: Traveller's diarrhoea (TD) is acquired primarily through ingestion of food and drinks contaminated with pathogens that cause diarrhoea. They can be bacteria, protozoa, helminths, and viruses. Globally, the most common causes of TD are two pathotypes of Escherichia coli (enterotoxigenic and enteroaggregative) and Campylobacter, although there are significant variations by geographic area visited. Most TD occurs in individuals traveling to low-middle income countries. The type of travel, length of stay, traveller's age, and the presence of certain underlying conditions are important risk factors to consider for the acquisition of TD. While TD is usually a mild and self-limiting disease, half of travellers with TD experience some limitation of activities during their trip, while up to 10% will experience persistent diarrhoea or other complications. The purpose of this article is to provide an updated microbiological, epidemiological, and clinical profile of traveller's diarrhoea, including known risk factors, as well as to make recommendations on the prevention and treatment of TD.
authors.affiliation: ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic, Universitat de Barcelona, Barcelona, España; Servicio de Microbiología, Hospital Clínic, Barcelona, España. Electronic address: jvila@ub.edu.
authors.forename: Jordi
authors.initials: J
authors.lastname: Vila
authors.affiliation: ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic, Universitat de Barcelona, Barcelona, España; Servicio de Salud Internacional, Hospital Clínic, Barcelona, España.
authors.forename: Ines
authors.initials: I
authors.lastname: Oliveira
authors.affiliation: ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic, Universitat de Barcelona, Barcelona, España; Servicio de Microbiología, Hospital Clínic, Barcelona, España.
authors.forename: Yuliya
authors.initials: Y
authors.lastname: Zboromyrska
authors.affiliation: ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic, Universitat de Barcelona, Barcelona, España; Servicio de Salud Internacional, Hospital Clínic, Barcelona, España.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Gascon
mesh_terms: D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003967:Diarrhea / Q000150:complications / Q000453:epidemiology / Q000382:microbiology / Q000469:parasitology; D024881:Drug Resistance, Bacterial; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors; D012737:Sex Factors; D014195:Travel
chemical_list: D000900:Anti-Bacterial Agents
keywords: Diagnosis; Diagnóstico; Diarrea del viajero; Tratamiento; Traveller's diarrhoea; Treatment