Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses.

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Abstract Text:

BACKGROUND: Between 1995 and 1997, stool samples of 322 Austrian tourists returning from abroad with diarrhea were examined for bacteria, parasites and viruses. METHODS: Epidemiologic data were collected from information furnished by physicians and hospitals and from questionnaires. Moreover, testing expenses and additional cost for treated cases were evaluated. RESULTS: In 97 of 322 patients examined (30%), one or more pathogens were detected in the stool. Bacteria were found in 38 patients (39%), parasites in 33 patients (34%) and viruses in 26 patients (27%). In 6 patients, mixed infections with parasites and viruses were detected and in 5 patients with bacteria and viruses. Among bacteria, Campylobacter jejuni was most frequent; among parasitic infections, Giardia lamblia. Significant correlations were established between the country of destination, age, travel style and length of stay. Forty-four percent of all patients visited Asia (including Turkey), 27% Africa, 18% Latin America, and only 10% southern Europe. The group between 20 and 29 years of age was most frequently affected (p<.001), the group between 0 and 19 years of age least. Fifty-seven percent stayed in a hotel without frequent changes of location; 43% undertook a trekking trip; and of those, 75% belonged to the group aged between 20 and 39. In terms of the correlation between travel style and pathogen, it was found that 74% of patients with bacterial infections stayed in a hotel (avg. 57.9%; p<.05) whereas 64% of all patients with parasitic infections undertook a trekking trip (avg. 42%; p<.001). Thirty-six percent of all patients with parasitic infections spent their vacation in India (avg. 13%; p<.001). The length of stay of patients with bacterial infections was shorter than average (72% spent between 1 and 2 weeks abroad, avg. 49.8%). Patients with parasitic infections spent significantly more time abroad than average (42% more than 2 months; avg. 17.7%; p<.001). Average cost of specific antimicrobial therapy was U.S.$31 whereas the average cost of identifying a patient needing such treatment was almost U.S.$580. CONCLUSION: Optimal detection rate and cost reduction for the diagnosis require precise history, adequate collection of samples using adequate transport media, and rapid transfer to the laboratory.

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Publishing Authors By Initials

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of travel medicine : official publication

VOLUME: 5

Page Numbers: 65-72

Journal Abbreviation: J Travel Med

ISSN: 1195-1982

DAY: 11

MONTH: Jun

YEAR: 1998

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9434456

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Keywords Mesh Terms:

KEYWORDS: Travel

MESH TERMS: microbiology

Chemical & Substance for Abstract: Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses.

AFFILIATION: Institute of Hygiene, University of Graz, Austria.

Country: CANADA

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Travel Med

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses Related Publications

• A unified vision of the building blocks of life.
• Characterization and temperature-dependent quantification of heat shock protein 60 of the immunogenic fungus Alternaria alternata.
• Chemotherapeutic treatment of a pregnant patient with ovarian dysgerminoma.
• Diarrhea in returning Austrian tourists: epidemiology, etiology, and cost-analyses.
• Disseminated tumor cells: Are they ready for clinical use?
• EagleView: A genome assembly viewer for next-generation sequencing technologies.
• Geographic access to family planning facilities and the risk of unintended and teenage pregnancy.
• Glycosylation in cellular mechanisms of health and disease.
• Impact of nuchal cord on measurement of fetal nuchal translucency thickness.
• Initiation of protein O glycosylation by the polypeptide GalNAcT-1 in vascular biology and humoral immunity.
• Isolation of Gordonia terrae from a patient with catheter-related bacteraemia.
• Kinetics of aflatoxin biosynthesis by Aspergillus parasiticus in the presence of N(alpha)-palmitoyl-L-lysyl-L-lysine-ethyl ester dihydrochloride or dichlorvos.
• Kinetics of growth and accumulation of aflatoxin B(1) by Aspergillus parasiticus in the presence of butylated hydroxyanisole, isoprothiolane, and nystatin.
• Mammalian N-glycan branching protects against innate immune self-recognition and inflammation in autoimmune disease pathogenesis.
• Multidrug-resistant bacteria in southeastern Austria.
• Perioperative adjuvant therapy with infliximab in complicated anal crohn's disease.
• Pyrobayes: an improved base caller for SNP discovery in pyrosequences.
• Results of leptospirosis examinations of human sera from El Salvador.
• The Ashwell receptor mitigates the lethal coagulopathy of sepsis.
• The role of interleukin-16 in eosinophilic chronic rhinosinusitis.
• Treatment of travelers' diarrhea among Austrian tourists.
• Validation of intraoperative risk assessment on frozen section for surgical management of endometrial carcinoma.
• [Adjuvant therapy of breast cancer with trastuzumab]
• [On the problem of the cardiotoxicity of epirubicin-cisplatin]
• [Significance of the occurrence of Aeromonas of various biotypes in the Third World]