TY - JOUR
T1 - Traveler's diarrhea in children
T2 - New insights and existing gaps
AU - Ashkenazi, Shai
AU - Schwartz, Eli
N1 - Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2020/3/1
Y1 - 2020/3/1
N2 - The number of children accompanying their parents in international travel is increasing steadily, and with the rising global migration, children more frequently accompany their parents or caregivers for visiting friends or relatives (VFR). As compared to travel for tourism, VFR children are at higher risk of acquiring local diseases, as they more often stay in rural areas in resource-poor locations, have longer periods of visit, are less likely to attend pre-travel consultations, and less frequently adhere to recommended precautions. Travelers's diarrhea (TD) is the most common travel-associated illnesses in children. This review updates the existing knowledge on TD in children, regarding its distinctive epidemiology, risk factors, preventive measures, clinical manifestations, complications, causative microorganisms and management. Despite the limited focused research on pediatric TD, which challenges the formulation of children-oriented evidence-based guidelines, practical recommendations are suggested.
AB - The number of children accompanying their parents in international travel is increasing steadily, and with the rising global migration, children more frequently accompany their parents or caregivers for visiting friends or relatives (VFR). As compared to travel for tourism, VFR children are at higher risk of acquiring local diseases, as they more often stay in rural areas in resource-poor locations, have longer periods of visit, are less likely to attend pre-travel consultations, and less frequently adhere to recommended precautions. Travelers's diarrhea (TD) is the most common travel-associated illnesses in children. This review updates the existing knowledge on TD in children, regarding its distinctive epidemiology, risk factors, preventive measures, clinical manifestations, complications, causative microorganisms and management. Despite the limited focused research on pediatric TD, which challenges the formulation of children-oriented evidence-based guidelines, practical recommendations are suggested.
KW - Children
KW - Enteric infection
KW - Gastroenteritis
KW - Resource-poor countries
KW - Travel
UR - http://www.scopus.com/inward/record.url?scp=85074533701&partnerID=8YFLogxK
U2 - 10.1016/j.tmaid.2019.101503
DO - 10.1016/j.tmaid.2019.101503
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C2 - 31654742
AN - SCOPUS:85074533701
SN - 1477-8939
VL - 34
JO - Travel Medicine and Infectious Disease
JF - Travel Medicine and Infectious Disease
M1 - 101503
ER -