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Global etiology of travelers' diarrhea: systematic review from 1973 to the present.
Am J Trop Med Hyg. 2009 Apr; 80(4):609-14.AJ

Abstract

Fifty-one published studies of travelers' diarrhea (TD) were examined to look for regional differences in pathogens identified. Enterotoxigenic E. coli was detected in 1,678/5,518 (30.4%) of TD cases overall, with rates in Latin America/Caribbean (L. America), Africa, south Asia, and Southeast Asia of 1,109/3,302 (33.6%), 389/1,217 (31.2%), 153/499 (30.6%), and 36/500 (7.2%), respectively (P < 0.001). Enteroaggregative E. coli was the second most common agent in L. America, found in 166/689 (24.1%), compared with 3/165 (1.8%) in Africa and 33/206 (16%) in south Asia (P < 0.001). Other significantly regional differences were seen for enteropathogenic E. coli, diffusely adherent E. coli, Campylobacter, Shigella spp., Salmonella, Aeromonas spp., Plesiomonas, Vibrios, rotavirus, noroviruses, Giardia, and Entoamoeba histolytica. The regional differences in pathogen identification identified will serve as a baseline for antimicrobial therapy recommendations and vaccines strategies.

Authors+Show Affiliations

The University of Texas Health Science Center at Houston, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

19346386

Citation

Shah, Nipam, et al. "Global Etiology of Travelers' Diarrhea: Systematic Review From 1973 to the Present." The American Journal of Tropical Medicine and Hygiene, vol. 80, no. 4, 2009, pp. 609-14.
Shah N, DuPont HL, Ramsey DJ. Global etiology of travelers' diarrhea: systematic review from 1973 to the present. Am J Trop Med Hyg. 2009;80(4):609-14.
Shah, N., DuPont, H. L., & Ramsey, D. J. (2009). Global etiology of travelers' diarrhea: systematic review from 1973 to the present. The American Journal of Tropical Medicine and Hygiene, 80(4), 609-14.
Shah N, DuPont HL, Ramsey DJ. Global Etiology of Travelers' Diarrhea: Systematic Review From 1973 to the Present. Am J Trop Med Hyg. 2009;80(4):609-14. PubMed PMID: 19346386.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Global etiology of travelers' diarrhea: systematic review from 1973 to the present. AU - Shah,Nipam, AU - DuPont,Herbert L, AU - Ramsey,David J, PY - 2009/4/7/entrez PY - 2009/4/7/pubmed PY - 2009/4/29/medline SP - 609 EP - 14 JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. VL - 80 IS - 4 N2 - Fifty-one published studies of travelers' diarrhea (TD) were examined to look for regional differences in pathogens identified. Enterotoxigenic E. coli was detected in 1,678/5,518 (30.4%) of TD cases overall, with rates in Latin America/Caribbean (L. America), Africa, south Asia, and Southeast Asia of 1,109/3,302 (33.6%), 389/1,217 (31.2%), 153/499 (30.6%), and 36/500 (7.2%), respectively (P < 0.001). Enteroaggregative E. coli was the second most common agent in L. America, found in 166/689 (24.1%), compared with 3/165 (1.8%) in Africa and 33/206 (16%) in south Asia (P < 0.001). Other significantly regional differences were seen for enteropathogenic E. coli, diffusely adherent E. coli, Campylobacter, Shigella spp., Salmonella, Aeromonas spp., Plesiomonas, Vibrios, rotavirus, noroviruses, Giardia, and Entoamoeba histolytica. The regional differences in pathogen identification identified will serve as a baseline for antimicrobial therapy recommendations and vaccines strategies. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/19346386/full_citation L2 - http://www.diseaseinfosearch.org/result/2258 DB - PRIME DP - Unbound Medicine ER -
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