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Traveler's Diarrhea


Prevention & Expectations

What can be done to prevent the disease?

The best way to prevent traveler's diarrhea is to pay very close attention to the foods and beverages ingested. Here are some guidelines to follow.

  • Avoid contaminated water and ice made from that water.
  • Avoid food sold by street vendors.
  • Avoid unpasteurized milk and juice.
  • Breast-feed infants or provide formula that has been mixed with boiled water.
  • Cook meat, poultry, and seafood thoroughly, and eat it while it is still hot.
  • Drink beverages, such as coffee and tea, made from boiled water.
  • Drink canned or bottled carbonated water and soft drinks.
  • Dry wet cans or bottles before opening them, and wipe surfaces that will touch the mouth.
  • If no safe water source is available, treat contaminated water by boiling it or adding disinfectants such as iodine or chlorine.
  • Wash fruits and vegetables thoroughly in uncontaminated water and peel them yourself.
  • Traveler's diarrhea can be prevented by taking medicines while in areas where the risk is high. Such medicines include:

  • bismuth compounds
  • norfloxacin, ciprofloxacin, or ofloxacin
  • trimethoprim-sulfamethoxazole
  • doxycycline
  • What are the long-term effects of the disease?

    Certain strains of E. coli, like the O157:H7 strain, cause hemorrhagic colitis. This illness causes inflammation of the large intestine and bloody diarrhea in both adults and children. This strain can also cause a complication called hemolytic uremia syndrome (HUS). This disorder causes red blood cell destruction, a low platelet count, and loss of kidney function. HUS can range from a mild illness to a severe condition resulting in permanent kidney damage. HUS usually follows a case of bloody diarrhea.

    What are the risks to others?

    A person who has been infected with E.coli and other bacteria can potentially pass them to others. There is a particular danger if the infected person does not wash his or her hands thoroughly.


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