Persistent Travelers' Diarrhea

Health and Safety Issues for Travelers Attending the World Cup and Summer Olympic and Paralympic Games in Brazil, 2014 to 2016

“…38,39 A review of ill travelers returning from Brazil between 1997 and 2013 found that gastrointestinal illness accounted for 34% of all diagnoses. 40 Healthcare practitioners should educate travelers on the importance of frequent handwashing with soap and water and use of alcohol-based hand sanitizers to decrease their risk of gastrointestinal illness.…”

“…40 Healthcare practitioners should educate travelers on the importance of frequent handwashing with soap and water and use of alcohol-based hand sanitizers to decrease their risk of gastrointestinal illness. 39,41 Other recommended approaches to reduce risk include food and water precautions and the use of nonantimicrobial drugs for prophylaxis. 39 Freshly cooked food that is served hot is less likely to be contaminated than foods that have been sitting out.…”

“…39,41 Other recommended approaches to reduce risk include food and water precautions and the use of nonantimicrobial drugs for prophylaxis. 39 Freshly cooked food that is served hot is less likely to be contaminated than foods that have been sitting out. Travelers should avoid raw foods, such as salads, unpeeled fruits, or uncooked vegetables.…”

“…39 Ill travelers should maintain a high intake of nonalcoholic fluids to prevent dehydration and avoid dairy products. The effectiveness of a singledose or 3 days of antibiotic therapy with a fluoroquinolone or azithromycin, along with over-the-counter loperamide hydrochloride to ease symptoms, iswell established for self-treatment.…”

“…Health care practitioners should review a traveler’s medical history as those taking anticoagulants, probenecid, or methotrexate and travelers with aspirin allergy, renal insufficiency, and gout should avoid taking bismuth subsalicylate. 39 …”