Svenungsson B, Jertborn M, Wiström J
Infektionskliniken, Huddinge sjukhus.
Nord Med. 1992;107(11):272-3.
Travelers' diarrhea (TD) affects 20-50 per cent of individuals going to developing countries in Asia, Africa, or Latin America. The etiology varies but is dominated by enterotoxigenic E. coli, found in 30-50 per cent. TD is usually a mild disease, self-limiting in 3-4 days, but 10 per cent of those afflicted have symptoms for one week or more. Prophylaxis of TD involves dietary restrictions and, in selected medical risk groups, antimicrobial drugs. The most important treatment of TD is oral rehydration and loperamide in mild to moderate, non-invasive illness. Antibiotics for self-treatment shall be restricted for medical risk groups and individuals travelling far from medical service.
旅行者腹泻（TD）影响着20%至50%前往亚洲、非洲或拉丁美洲发展中国家的人。其病因各不相同，但以产肠毒素大肠杆菌为主，占30%至50%。TD通常是一种轻度疾病，3至4天可自愈，但10%的患者症状会持续一周或更长时间。TD的预防措施包括饮食限制，对于特定的医疗风险群体，还需使用抗菌药物。TD最重要的治疗方法是口服补液，对于轻度至中度、非侵袭性疾病，可使用洛哌丁胺。自我治疗使用的抗生素应仅限于医疗风险群体以及远离医疗服务机构旅行的个人。
