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INCIDENCE OF TRAVELERS’ DIARRHEA AMONG JAPANESE VISITING THAILAND


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タイトル: INCIDENCE OF TRAVELERS’ DIARRHEA AMONG JAPANESE VISITING THAILAND
著者: Mitsui, Yoshinori / Chanyasanha, Charnchudhi / Boonshuyar, Chaweewon / Shimada, Masaaki / Moji, Kazuhiko
発行日: 2004年 5月
出版者: 日本熱帯医学会 / The Japanese Society of Tropical Medicine
引用: Tropical Medicine and Health Vol. 32 No. 1, 2004, pp. 21-26
抄録: A cross-sectional survey of 327 Japanese short-term travelers (≤3 weeks) arriving in Bangkok, Thailand was conducted to assess the incidence of travelers’ diarrhea (TD) as well as their symptoms and treatment-seeking behaviors. The incidence of the first episode of TD (FTD) was ascertained retrospectively by questionnaire. Reported by 69 travelers, FTD clustered within the first 8 days of arrival in Thailand, and the incidence rate varied from 2% to 8% with the highest incidence on the third day. Cumulative probability of FTD was 19% for those arriving in Thai directly from Japan, 42 % for those arriving via Southeast Asia, and 25% for those arriving via other regions at Day 7 by the Kaplan-Meier survival analysis. Log rank test revealed a higher FTD risk for travelers arriving via other Southeast Asian countries than for those arriving directly from Japan (P < 0.005). Of all the 69 FTD episodes, 33% had classic TD defined as ≥3 unformed stools per 24 hours with at least one accompanying symptom, 49% had moderate TD defined as ≤2 unformed stools with at least one additional symptom or more unformed stools without additional symptoms, and 17% had mild TD defined as with ≤ 2 unformed stools without additional symptoms. Cumulative probability of FTD at Day 7 was 12% for classic TD, 25% for classic plus moderate TD and 30% for all the TD. More than 38% of travelers with diarrhea took medicine brought from Japan. Among travelers with classic TD, 35% bought medicine in Thailand, whereas 47-50% of travelers with moderate and mild TD took only rest without any treatment.
キーワード: incidence / diarrhea / travelers / Japanese / Thailand
URI: http://hdl.handle.net/10069/5660
ISSN: 13488945
DOI: 10.2149/tmh.32.21
権利: Copyright(c) 2004 by The Japanese Society of Tropical Medicine
資料タイプ: Journal Article
原稿種類: publisher
出現コレクション:120 学術雑誌論文

引用URI : http://hdl.handle.net/10069/5660

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