Caumes E, Gentilini M
Département de Médecine Tropicale, Hôpital Pitié-Salpêtrière, Paris.
Ann Gastroenterol Hepatol (Paris). 1992 Nov-Dec;28(6-7):275-8.
The prevention of traveller's diarrhea should be limited to the evaluation of drinking water, the avoidance of certain foods and careful hygiene of the hands. Although their efficacy is somewhat controversial in this context, these precautions at any event reduce the risk of acquiring other feco-orally transmitted diseases. Because of the increasing resistance of the bacteria responsible and their multiplicity, early treatment of any actual case of traveller's diarrhea is preferable to prophylactic antibiotics. Therapeutic indications vary according to the severity of traveller's diarrhea and the general condition of the patient. Travellers must be aware of these considerations before their departure.
旅行者腹泻的预防应限于对饮用水的评估、避免某些食物以及注意手部卫生。尽管这些预防措施在这种情况下的效果存在一定争议,但无论如何,它们都能降低感染其他粪口传播疾病的风险。由于致病细菌的耐药性不断增强且种类繁多,对于任何实际发生的旅行者腹泻病例,早期治疗优于预防性使用抗生素。治疗指征根据旅行者腹泻的严重程度和患者的一般状况而有所不同。旅行者在出发前必须了解这些注意事项。