Publication: Traveler's diarrhea in foreign travelers in southeast Asia: A cross-sectional survey study in Bangkok, Thailand
Issued Date
2015-01-01
Resource Type
ISSN
00029637
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2-s2.0-84941614187
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Mahidol University
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SCOPUS
Bibliographic Citation
American Journal of Tropical Medicine and Hygiene. Vol.93, No.3 (2015), 485-490
Suggested Citation
Chatporn Kittitrakul, Saranath Lawpoolsri, Teera Kusolsuk, Jutarmas Olanwijitwong, Waraluk Tangkanakul, Watcharapong Piyaphanee Traveler's diarrhea in foreign travelers in southeast Asia: A cross-sectional survey study in Bangkok, Thailand. American Journal of Tropical Medicine and Hygiene. Vol.93, No.3 (2015), 485-490. doi:10.4269/ajtmh.15-0157 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36143
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Title
Traveler's diarrhea in foreign travelers in southeast Asia: A cross-sectional survey study in Bangkok, Thailand
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Abstract
Copyright © 2015 by The American Society of Tropical Medicine and Hygiene. The effect of origin and destination country on traveler's diarrhea incidence rates in Southeast Asia is poorly understood, and research generally only addresses diarrhea in travelers from the developed world. This study evaluated the attack rate and effects of traveler's diarrhea by origin and destination and analyzed key risk factors. A selfadministered questionnaire was provided to foreign travelers departing Southeast Asia from Suvarnabhumi Airport, Bangkok, Thailand. It evaluated traveler demographics, relevant knowledge and practices, experiences of diarrhea, and the details and consequences of each diarrheal episode. A total of 7,963 questionnaires were completed between April 2010 and July 2011. Respondents were 56% male (mean age 35) with a mean and median duration of stay of 28 days and 10 days, respectively. Most respondents were from Europe (36.8%) or East Asia (33.4%). The attack rate of traveler's diarrhea was 16.1%, with an incidence rate of 32.05 per 100 person months. Travelers' origin and destination countries significantly related to diarrhea risk. Oceanians had the highest risk (32.9%) and East Asians the lowest (2.6%). Vietnam and Indonesia were the highest risk destinations (19.3%). Other significant factors were youth, trip duration, number of countries visited, and frequently drinking beverages with ice.