• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Canadian Family Physician >Preparing patients to travel abroad safely. Part 4: Reducing risk of accidents diarrhea and sexually transmitted diseases.
【2h】

Preparing patients to travel abroad safely. Part 4: Reducing risk of accidents diarrhea and sexually transmitted diseases.

机译：准备患者安全出国旅行。第4部分：降低事故腹泻和性传播疾病的风险。

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To present evidence-based recommendations on traveling abroad safely so family physicians can advise travelers on how to reduce risk of accidents, diarrhea, and sexually transmitted diseases (STDs) and how to treat diarrhea themselves if medical care is unavailable. QUALITY OF EVIDENCE: A MEDLINE search from 1990 to November 1998 found 163 articles on travel and accidents, 504 on travel and diarrhea, and 42 on travel and STDs. Titles and abstracts were reviewed, and randomized controlled trials (RCTs) and systematic reviews were sought. The Cochrane Collaboration database of systematic reviews and meta-analyses was searched for studies relevant to family physicians. MAIN MESSAGE: For preventing diarrhea, RCTs demonstrate that bismuth subsalicylate, doxycycline, ciprofloxacin, and trimethoprim-sulfamethoxazole are useful prophylactics. Once travelers have diarrhea, RCTs show that loperamide and zaldaride reduce symptoms and duration; quinolones, ciprofloxacin, norfloxacin, and oral aztreonam reduce abdominal symptoms and time to last liquid stool by several days; azithromycin is effective in treatment of ciprofloxacin-resistant Campylobacter, and trimethoprim-sulfamethoxazole is effective in treating cyclospora. There are no RCTs of preventing accidents and STDs abroad. Health Canada has issued a statement summarizing the risks of acquiring STDs abroad. CONCLUSION: Family physicians can advise their patients on how to reduce risk of travelers' diarrhea and how to treat it themselves on holiday. There is expert advice on how to reduce risk of STDs.
机译：目的：提出有关安全出国旅行的循证建议，以便家庭医生可以就如何减少事故，腹泻和性传播疾病（STD）的风险以及如果无法提供医疗服务如何自行治疗腹泻向旅行者提供建议。证据的质量：1990年至1998年11月的MEDLINE搜索发现163篇关于旅行和事故的文章，504篇关于旅行和腹泻的文章以及42篇关于旅行和性病的文章。审查标题和摘要，并寻求随机对照试验（RCT）和系统评价。搜索系统评价和荟萃分析的Cochrane协作数据库，查找与家庭医生相关的研究。主要信息：为预防腹泻，RCT证明亚水杨酸铋，多西环素，环丙沙星和甲氧苄氨嘧啶-磺胺甲恶唑是有用的预防剂。一旦旅行者出现腹泻，RCT证明洛哌丁胺和扎来特胺可减少症状和持续时间。喹诺酮类，环丙沙星，诺氟沙星和口服氨曲南可减轻腹部症状并减少数天的持续大便时间；阿奇霉素可有效治疗耐环丙沙星的弯曲杆菌，甲氧苄氨嘧啶磺胺甲基恶唑可有效治疗环孢菌。国外没有预防事故和性病的RCT。加拿大卫生部发表了一份声明，总结了在国外购买性病的风险。结论：家庭医生可以为患者提供有关如何减少旅行者腹泻的风险以及如何在假日自行治疗的建议。对于如何降低性病风险，有专家建议。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号