Acute Traveller's Diarrhoea

Question 1

What is acute travellers diarrhoea?

Answer 1

3 loose stools in 24 hours which are often caught while travelling

Question 2

How is it diagnosed

Answer 2

Stool culture

Stool wet prep on recently passed stool for amoebic trophozoites

Question 3

How is it treated?

Answer 3

Supportive- fluid rehydration (oral/IV)
Bloody diarrhoea with systemic upset may get treatment
AB resistance: now common, where a macrolide may be more useful

Fluoroquinoline (ciprofloxacin) single dose can be worsening