Institute of Specific Prophylaxis and Tropical Medicine, Medical University Vienna, Vienna, Austria.
Wien Klin Wochenschr. 2009 Oct;121 Suppl 3:13-8. doi: 10.1007/s00508-009-1228-1.
Travellers' diarrhoea is the most likely cause for disturbing travel arrangements. At an average, 30-40% of tourists are concerned, depending on the travel destination. Due to the high impact on the travellers' health this topic is still of utmost importance in travel medicine. A wide spectrum of enteropathogens can be accountable, with enterotoxigenic Escherichia coli being the major causing pathogen among other bacteria, parasites and viruses. Here we discuss advantages and disadvantages of different prophylactic measures against travellers' diarrhoea. The effectiveness but also the relevance of hygiene education, vaccination and antibiotic or probiotic application will be discussed in the context of the travellers' different risk profiles.
旅行者腹泻是扰乱旅行安排的最可能原因。根据旅行目的地的不同，平均有 30%-40%的游客会受到影响。由于其对旅行者健康的巨大影响，这个问题在旅行医学中仍然至关重要。一系列肠道病原体都可能导致这种疾病，产肠毒素性大肠杆菌是除其他细菌、寄生虫和病毒之外的主要病原体。在这里，我们讨论了针对旅行者腹泻的不同预防措施的优缺点。我们将根据旅行者的不同风险概况讨论卫生教育、疫苗接种以及抗生素或益生菌应用的有效性和相关性。
