Update on the Epidemiology of Traveler's Diarrhea in East Africa.

Update on the Epidemiology of Traveler's Diarrhea in East Africa.
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东非旅行者腹泻流行病学最新情况。

DOI:
10.1111/j.1708-8305.1997.tb00797.x
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发表时间:
1997
影响因子:
25.7
通讯作者:
Robert Steffen
Robert Steffen
中科院分区:
医学2区
文献类型:
--
作者:
Felix Angst;Robert Steffen

文献摘要

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Background: Traveler's diarrhea (TD), the most frequent health problem in visitors to subtropical and tropical regions, needs to be reassessed in view of the development of vaccines against its most frequent causative agent, enterotoxigenic Escherichia coli. Methods: Passengers returning from Mombasa to Europe were interviewed by self-applied questionnaires during the flights. Main outcome measures were subjective TD, defined as having had more diarrhea in East Africa than at home, objective TD as traditionally defined, and the cumulative incidence calculated by the method of Kaplan-Meier survival analysis. Results: Subjective TD was reported by 1117 (49.3%) of the 2268 tourists. The cumulative incidence of subjective TD reached 36.7% after a 1-week stay and 47.6% after 2 weeks. Conclusion: Subjective TD attack and incidence rates continue to be high even at frequently visited destinations.