Table of Contents

Preface

1 Historical Perspective of Travelers’ Diarrhea

PART ONE: ETIOLOGY AND PATHOGENESIS

2 Bacterial Pathogens

3 Viral Pathogens

4 Parasitic Pathogens

5 Antimicrobial Resistance

6 Pathogenesis

7 Relative Importance of Pathogens and Noninfectious Causes

8 Diarrhea Associated with Non Enteric Disease

PART TWO: EPIDEMIOLOGY and SPECIAL POPULATIONS

9 Epidemiology

10 Sources: Food, Water, Person to person Spread

11 Children, Pregnant Women and the Elderly

12 Immunocompromised Patients including AIDS

13 Diarrhea in Expatriates

14 Diarrheal Outbreaks Associated with Airline Flights

15 Diarrhea at Sea and Outbreaks Associated with Cruises

16 Diarrhea in Military Populations: Historical and Modern Times

PART THREE: CLINICAL FEATURES

17 Genetic Risk Factors in Enteric Disease

18 Clinical Features and Syndromes

19 Post Infectious IBS

PART FOUR: PREVENTION

20 Diet and Education about Risks

21 Prophylactic Use of Drugs

22 Probiotics in Travelers’ Diarrhea

23 Natural Immunity with Exposure

24 Immunoprophylaxis and Immunologic Control

PART FIVE: DIAGNOSTICS and TREATMENT

25 Management of Travelers’ Diarrhea by Practitioners in the Developing World

26 Nonspecific Treatment: Diet, Oral Rehydration Therapy

27 Symptomatic Therapy

28 Antimicrobial Therapy

29 Algorithmic Approach to Empiric Self-Treatment of Acute Travelers’ Diarrhea

30 Cost Effective Approach to Travelers’ Diarrhea Management

PART SIX: THE FUTURE

31 Future Directions for Travelers’ Diarrhea

About the Author

Charles Ericsson MD University of Texas Houston, Texas Herbert DuPont MD Baylor College of Medicine St. Luke's Episcopal Houston, Texas Robert Steffen MD Institute of Social and Preventative Medicine (ISPM) University of Zurich Zurich, Switzerland