Resistant pathogens as causes of traveller's diarrhea globally and impact(s) on treatment failure and recommendations

Journal of Travel Medicine
David R Tribble

Abstract

: Diarrhea is a frequent clinical syndrome affecting international travellers. Bacterial etiologic agents have a long history of emergent antimicrobial resistance against commonly used antibiotics. Current approaches applying first-line antimicrobial therapy are being challenged by increasingly resistant organisms. This review summarizes recent epidemiological and clinical evidence of antibiotic resistance among enteropathogens causing traveller's diarrhea and the subsequent impact on current treatment recommendations. : The PubMed database was systemically searched for articles related to antibiotic susceptibility and diarrheal pathogens. : Antibiotic resistance related to travellers' diarrhea has increased in recent years. Most notably, fluoroquinolone resistance has expanded from the Campylobacter -associated cases well documented in Southeast Asia in the 1990s to widespread occurrence, as well as increases among other common bacterial enteropathogens including, enterotoxigenic and enteroaggregative Escherichia coli , Shigella and non-typhoidal Salmonella . Multidrug resistance among enteropathogenic Enterobacteriacae and Campylobacter species create further challenges with the selection of empiric therapy. Treatment failure...Continue Reading

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Citations

Jan 20, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Paphavee LertsethtakarnCarl J Mason
Jul 18, 2018·Journal of Travel Medicine·Mark S Riddle
Jul 18, 2018·Journal of Travel Medicine·Suvash Dawadi
Nov 27, 2018·Journal of Travel Medicine·Mark S RiddleDavid R Tribble
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May 3, 2018·Journal of Travel Medicine·Geeta Hitch, Naomi Fleming
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Jul 28, 2019·Microbiology Resource Announcements·Denish PiyaJason J Gill
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