總結

• Occurs in 20% to 50% of people travelling to a less developed country, due to contaminated food or water, usually within the first 2 weeks of exposure.
• Prevention strategies include careful selection of food and beverages.
• Treatment at the onset of diarrhoea with either quinolone antibiotics, azithromycin, or rifaximin, in addition to the use of loperamide, will quickly alleviate symptoms of bacterial traveller's diarrhoea.
• Quinolone resistance is a growing problem, particularly in Campylobacter infections acquired in south and SE Asia, where azithromycin is a better treatment choice than ciprofloxacin.