Etiology and Epidemiology of Travelers' Diarrhea among US Military and Adult Travelers, 2018-2023

被引：0

作者：

Anderson, Melissa S. ^{[1
,2
]}

Mahugu, Evelyn W. ^{[3
,4
]}

Ashbaugh, Hayley R. ^{[5
]}

Wellbrock, Aaron G. ^{[1
,2
]}

Nozadze, Maia ^{[6
]}

Shrestha, Sanjaya K. ^{[7
]}

Soto, Giselle M. ^{[8
]}

Nada, Rania A. ^{[9
]}

Pandey, Prativa ^{[10
]}

Esona, Mathew D. ^{[1
]}

Crouch, Daniel J. ^{[1
]}

Hartman-Lane, Michelle ^{[1
]}

Smith, Hunter J. ^{[3
]}

机构：

[1] Naval Hlth Res Ctr, San Diego, CA USA

[2] Gen Dynam Informat Technol, San Diego, CA USA

[3] Armed Forces Hlth Surveillance Div, 11800 Tech Rd,Suite 200, Silver Spring, MD 20904 USA

[4] Gen Dynam IT, Silver Spring, MD USA

[5] US FDA, Silver Spring, MD USA

[6] Walter Reed Army Inst Res Europe Middle East, Tbilisi, Georgia

[7] Walter Reed Armed Forces Res Inst, Med Sci Res Unit Nepal, Kathmandu, Nepal

[8] US Naval Med Res Unit South, Lima, Peru

[9] US Naval Med Res Unit EURAFCENT, Cairo, Egypt

[10] CANADIAN INT WATER & ENERGY CONSULTANTS CLIN, Kathmandu, Nepal

来源：

EMERGING INFECTIOUS DISEASES | 2024年 / 30卷 / 14期

关键词：

PCR;

D O I：

10.3201/eid3014.240308

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Travelers' diarrhea has a high incidence rate among deployed US military personnel and can hinder operational readiness. The Global Travelers' Diarrhea study is a US Department of Defense-funded multisite surveillance effort to investigate the etiology and epidemiology of travelers' diarrhea. During 2018-2023, we enrolled 512 participants at partner institutions in 6 countries: Djibouti, Georgia, Egypt, Honduras, Nepal, and Peru. Harmonized laboratory methods conducted at each partner institution identified >1 pathogens, including Escherichia coli (67%-82%), norovirus (4%-29%), and Campylobacterjejuni(2%-20%), in 403 (79%) cases. Among cases, 79.7% were single infections, 19.6% were double infections, and 0.7% were triple infections. The most common enterotoxigenic E. coli colonization factors identified were CS3 (25%) and CS21 (25%), followed by CS2 (18%) and CS6 (15%). These data can inform best treatment practices for travelers' diarrhea and support US military health readiness.

引用

页数：126

共 50 条

[1] A Multisite Network Assessment of the Epidemiology and Etiology of Acquired Diarrhea among US Military and Western Travelers (Global Travelers' Diarrhea Study): A Principal Role of Norovirus among Travelers with Gastrointestinal Illness
Ashbaugh, Hayley R.
Early, June M.
Johnson, Myles E.
Simons, Mark P.
Graf, Paul C. F.
Riddle, Mark S.
Swierczewski, Brett E.
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2020, 103 (05): : 1855 - 1863
[2] ETIOLOGY AND EPIDEMIOLOGY OF TRAVELERS DIARRHEA IN ASIA
TAYLOR, DN
ECHEVERRIA, P
REVIEWS OF INFECTIOUS DISEASES, 1986, 8 : S136 - S141
[3] EPIDEMIOLOGY OF TRAVELERS DIARRHEA
STEFFEN, R
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1983, 18 : 5 - 17
[4] Epidemiology of travelers' diarrhea
Castelli, F
Pezzoli, C
Tomasoni, L
JOURNAL OF TRAVEL MEDICINE, 2001, 8 : S26 - S30
[5] EPIDEMIOLOGY OF TRAVELERS DIARRHEA
CASTELLI, F
CAROSI, G
CHEMOTHERAPY, 1995, 41 : 20 - 32
[6] EPIDEMIOLOGY OF DIARRHEA IN TRAVELERS
STEFFEN, R
VANDERLINDE, F
GYR, N
SCHAR, M
ZEITSCHRIFT FUR GASTROENTEROLOGIE, 1981, 19 (09): : 528 - 528
[7] EPIDEMIOLOGY OF DIARRHEA IN TRAVELERS
STEFFEN, R
VANDERLINDE, F
GYR, N
SCHAR, M
SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT, 1982, 112 (15) : 545 - 545
[8] EPIDEMIOLOGY OF DIARRHEA IN TRAVELERS
STEFFEN, R
VANDERLINDE, F
GYR, K
SCHAR, M
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1983, 249 (09): : 1176 - 1180
[9] THE EPIDEMIOLOGY OF TRAVELERS DIARRHEA
STEFFEN, R
SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT, 1984, : 7 - 11
[10] EPIDEMIOLOGY OF TRAVELERS DIARRHEA
ALLARD, R
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1984, 251 (09): : 1161 - 1161

← 1 2 3 4 5 →