McIntosh I B, Swanson V, Howell K
Travel Medicine, Scottish Council for Post Graduate Medical Education, United Kingdom.
J Travel Med. 2001 Mar-Apr;8(2):60-5. doi: 10.2310/7060.2001.24334.
Travelers' diarrhea is the most frequent health problem in those participating in international journeys, and is responsible for many consultations abroad and on return home.
A questionnaire assessing attitudes toward treatment and management of travel-related and nontravel-related diarrhea was administered to 542 GPs, nurses and pharmacists.
Health professionals' attitudes to management of acute diarrhea are variable, with marked divergence regarding adherence to published "good practice" guidelines and recommendations. Inconsistencies exist in stated attitudes toward prescribing antispasmodics and antimotility agents and actual prescribing behavior.
Current treatment guidelines may be outdated. Inappropriate or delayed treatment disadvantages the patient. Limiting the use of antidiarrheal agents can deny access, for those inflicted with diarrhea, to a medication which may shorten symptomatology and morbidity, and speed the return to normality. Review of guidelines for diarrhea management in adults is overdue, as is standardization of treatment response. Educational initiatives are required to encourage active intervention and improved provision of care.
旅行者腹泻是参与国际旅行的人群中最常见的健康问题，导致许多人在国外及回国后就医。
对542名全科医生、护士和药剂师进行了一项问卷调查，评估他们对与旅行相关和非旅行相关腹泻的治疗及管理的态度。
卫生专业人员对急性腹泻管理的态度各不相同，在遵循已发表的“良好实践”指南和建议方面存在明显分歧。在开具解痉药和抗动力药的既定态度与实际开药行为之间存在不一致。
当前的治疗指南可能过时。不适当或延迟治疗对患者不利。限制使用止泻药可能使腹泻患者无法获得一种可缩短症状和发病率并加速恢复正常的药物。早就应该对成人腹泻管理指南进行审查，治疗反应的标准化也是如此。需要开展教育举措，以鼓励积极干预并改善护理服务。
