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Travelers' Diarrhea in West Africa and Mexico: Fecal Transport Systems and Liquid Bismuth Subsalicylate for Self-Therapy
The goals of this study were threefold: to compare the etiology of travelers' diarrhea in West Africa and Mexico, to evaluate two fecal transport systems for the recovery of enteropathogens, and to verify the efficacy of liquid bismuth subsalicylate (BSS) in different locations and under differ...
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| Published in: | The Journal of infectious diseases 1988-05, Vol.157 (5), p.1008-1013 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
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| container_end_page | 1013 |
| container_issue | 5 |
| container_start_page | 1008 |
| container_title | The Journal of infectious diseases |
| container_volume | 157 |
| creator | Steffen, Robert Mathewson, John J. Ericsson, Charles D. DuPont, Herbert L. Helminger, Andrée Balm, Timothy K. Wolff, Knut Witassek, Felix |
| description | The goals of this study were threefold: to compare the etiology of travelers' diarrhea in West Africa and Mexico, to evaluate two fecal transport systems for the recovery of enteropathogens, and to verify the efficacy of liquid bismuth subsalicylate (BSS) in different locations and under different entrance criteria for disease severity. The study populations consisted of 133 European tourists in West Africa and 112 American students in Mexico who had suffered from travelers' diarrhea. In 60% and 38% of the stool samples at the two study sites, similar proportions of enteropathogens were detected. A two-vial system consisting of Enteric Plus medium and polyvinyl alcohol fixative was slightly superior for identifying enteric pathogens than was a three-vial system with buffered glycerol saline, Cary-Blair medium with campylobacter antibodies, and polyvinyl alcohol fixative. In a parallel, double-blind, randomized trial, BSS significantly shortened disease duration at both study sites. |
| doi_str_mv | 10.1093/infdis/157.5.1008 |
| format | article |
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The study populations consisted of 133 European tourists in West Africa and 112 American students in Mexico who had suffered from travelers' diarrhea. In 60% and 38% of the stool samples at the two study sites, similar proportions of enteropathogens were detected. A two-vial system consisting of Enteric Plus medium and polyvinyl alcohol fixative was slightly superior for identifying enteric pathogens than was a three-vial system with buffered glycerol saline, Cary-Blair medium with campylobacter antibodies, and polyvinyl alcohol fixative. In a parallel, double-blind, randomized trial, BSS significantly shortened disease duration at both study sites.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/157.5.1008</identifier><identifier>PMID: 2896219</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject><![CDATA[Aeromonas - isolation & purification ; Africa, Western ; Animals ; Antibacterial agents ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacterial diseases ; Biological and medical sciences ; Bismuth ; Cryptosporidium - isolation & purification ; Diarrhea ; Diarrhea - drug therapy ; Diarrhea - etiology ; Diarrhea - microbiology ; Dosage ; Entamoeba histolytica - isolation & purification ; Escherichia coli - isolation & purification ; Etiology ; Feces - microbiology ; Feces - parasitology ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Giardia - isolation & purification ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Mexico ; Miscellaneous ; Organometallic Compounds - therapeutic use ; Original Articles ; Pathogens ; Pharmacology. Drug treatments ; Placebos ; Salicylates - therapeutic use ; Shigella ; Shigella - isolation & purification ; Specimen Handling - instrumentation ; Specimens ; Symptoms ; Travel ; Travelers ; Tropical medicine]]></subject><ispartof>The Journal of infectious diseases, 1988-05, Vol.157 (5), p.1008-1013</ispartof><rights>Copyright 1988 The University of Chicago</rights><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-c32afb3987b5aafdcde732c1a5eee5c2dd0002d764dae55a812c959523b4673f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7699354$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2896219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Steffen, Robert</creatorcontrib><creatorcontrib>Mathewson, John J.</creatorcontrib><creatorcontrib>Ericsson, Charles D.</creatorcontrib><creatorcontrib>DuPont, Herbert L.</creatorcontrib><creatorcontrib>Helminger, Andrée</creatorcontrib><creatorcontrib>Balm, Timothy K.</creatorcontrib><creatorcontrib>Wolff, Knut</creatorcontrib><creatorcontrib>Witassek, Felix</creatorcontrib><title>Travelers' Diarrhea in West Africa and Mexico: Fecal Transport Systems and Liquid Bismuth Subsalicylate for Self-Therapy</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>The goals of this study were threefold: to compare the etiology of travelers' diarrhea in West Africa and Mexico, to evaluate two fecal transport systems for the recovery of enteropathogens, and to verify the efficacy of liquid bismuth subsalicylate (BSS) in different locations and under different entrance criteria for disease severity. The study populations consisted of 133 European tourists in West Africa and 112 American students in Mexico who had suffered from travelers' diarrhea. In 60% and 38% of the stool samples at the two study sites, similar proportions of enteropathogens were detected. A two-vial system consisting of Enteric Plus medium and polyvinyl alcohol fixative was slightly superior for identifying enteric pathogens than was a three-vial system with buffered glycerol saline, Cary-Blair medium with campylobacter antibodies, and polyvinyl alcohol fixative. In a parallel, double-blind, randomized trial, BSS significantly shortened disease duration at both study sites.</description><subject>Aeromonas - isolation & purification</subject><subject>Africa, Western</subject><subject>Animals</subject><subject>Antibacterial agents</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Bismuth</subject><subject>Cryptosporidium - isolation & purification</subject><subject>Diarrhea</subject><subject>Diarrhea - drug therapy</subject><subject>Diarrhea - etiology</subject><subject>Diarrhea - microbiology</subject><subject>Dosage</subject><subject>Entamoeba histolytica - isolation & purification</subject><subject>Escherichia coli - isolation & purification</subject><subject>Etiology</subject><subject>Feces - microbiology</subject><subject>Feces - parasitology</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Giardia - isolation & purification</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mexico</subject><subject>Miscellaneous</subject><subject>Organometallic Compounds - therapeutic use</subject><subject>Original Articles</subject><subject>Pathogens</subject><subject>Pharmacology. Drug treatments</subject><subject>Placebos</subject><subject>Salicylates - therapeutic use</subject><subject>Shigella</subject><subject>Shigella - isolation & purification</subject><subject>Specimen Handling - instrumentation</subject><subject>Specimens</subject><subject>Symptoms</subject><subject>Travel</subject><subject>Travelers</subject><subject>Tropical medicine</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><recordid>eNqFkUtvEzEUhS0EKqHwA1ggeYFgNa0f4_GYXRsoRQpCkCCqbqw7figu80jtGZT8e1wSwpKVJX_nHOmeg9BLSs4oUfw89N6GdE6FPBP5h9SP0IwKLouqovwxmhHCWEFrpZ6iZyndEUJKXskTdMJqVTGqZmi7ivDLtS6mt_h9gBjXDnDo8Q-XRnzhYzCAobf4s9sGM7zDV85Ai7OpT5shjni5S6Pr0h_NItxPweLLkLppXOPl1CRog9m1MDrsh4iXrvXFau0ibHbP0RMPbXIvDu8p-n71YTW_LhZfPn6aXywKUwo1FoYz8A1XtWwEgLfGOsmZoSCcc8Iwa_NRzMqqtOCEgJoyo4QSjDdlJbnnp-jNPncTh_spX6W7kIxrW-jdMCUtayppyev_CmmpcsNSZiHdC00cUorO600MHcSdpkQ_zKL3s-g8ixb6YZbseXUIn5rO2aPjsEPmrw8cUi7Y535NTvgrk5VSXJT_Yu7SOMQj5oRyIYnIvNjzkFfZHjnEnzqXIYW-vrnVl3z-7au6IfqW_wZbiLC0</recordid><startdate>19880501</startdate><enddate>19880501</enddate><creator>Steffen, Robert</creator><creator>Mathewson, John J.</creator><creator>Ericsson, Charles D.</creator><creator>DuPont, Herbert L.</creator><creator>Helminger, Andrée</creator><creator>Balm, Timothy K.</creator><creator>Wolff, Knut</creator><creator>Witassek, Felix</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19880501</creationdate><title>Travelers' Diarrhea in West Africa and Mexico: Fecal Transport Systems and Liquid Bismuth Subsalicylate for Self-Therapy</title><author>Steffen, Robert ; Mathewson, John J. ; Ericsson, Charles D. ; DuPont, Herbert L. ; Helminger, Andrée ; Balm, Timothy K. ; Wolff, Knut ; Witassek, Felix</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-c32afb3987b5aafdcde732c1a5eee5c2dd0002d764dae55a812c959523b4673f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Aeromonas - isolation & purification</topic><topic>Africa, Western</topic><topic>Animals</topic><topic>Antibacterial agents</topic><topic>Antibiotics. Antiinfectious agents. Antiparasitic agents</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Bismuth</topic><topic>Cryptosporidium - isolation & purification</topic><topic>Diarrhea</topic><topic>Diarrhea - drug therapy</topic><topic>Diarrhea - etiology</topic><topic>Diarrhea - microbiology</topic><topic>Dosage</topic><topic>Entamoeba histolytica - isolation & purification</topic><topic>Escherichia coli - isolation & purification</topic><topic>Etiology</topic><topic>Feces - microbiology</topic><topic>Feces - parasitology</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Giardia - isolation & purification</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mexico</topic><topic>Miscellaneous</topic><topic>Organometallic Compounds - therapeutic use</topic><topic>Original Articles</topic><topic>Pathogens</topic><topic>Pharmacology. Drug treatments</topic><topic>Placebos</topic><topic>Salicylates - therapeutic use</topic><topic>Shigella</topic><topic>Shigella - isolation & purification</topic><topic>Specimen Handling - instrumentation</topic><topic>Specimens</topic><topic>Symptoms</topic><topic>Travel</topic><topic>Travelers</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Steffen, Robert</creatorcontrib><creatorcontrib>Mathewson, John J.</creatorcontrib><creatorcontrib>Ericsson, Charles D.</creatorcontrib><creatorcontrib>DuPont, Herbert L.</creatorcontrib><creatorcontrib>Helminger, Andrée</creatorcontrib><creatorcontrib>Balm, Timothy K.</creatorcontrib><creatorcontrib>Wolff, Knut</creatorcontrib><creatorcontrib>Witassek, Felix</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Steffen, Robert</au><au>Mathewson, John J.</au><au>Ericsson, Charles D.</au><au>DuPont, Herbert L.</au><au>Helminger, Andrée</au><au>Balm, Timothy K.</au><au>Wolff, Knut</au><au>Witassek, Felix</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Travelers' Diarrhea in West Africa and Mexico: Fecal Transport Systems and Liquid Bismuth Subsalicylate for Self-Therapy</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1988-05-01</date><risdate>1988</risdate><volume>157</volume><issue>5</issue><spage>1008</spage><epage>1013</epage><pages>1008-1013</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>The goals of this study were threefold: to compare the etiology of travelers' diarrhea in West Africa and Mexico, to evaluate two fecal transport systems for the recovery of enteropathogens, and to verify the efficacy of liquid bismuth subsalicylate (BSS) in different locations and under different entrance criteria for disease severity. The study populations consisted of 133 European tourists in West Africa and 112 American students in Mexico who had suffered from travelers' diarrhea. In 60% and 38% of the stool samples at the two study sites, similar proportions of enteropathogens were detected. A two-vial system consisting of Enteric Plus medium and polyvinyl alcohol fixative was slightly superior for identifying enteric pathogens than was a three-vial system with buffered glycerol saline, Cary-Blair medium with campylobacter antibodies, and polyvinyl alcohol fixative. In a parallel, double-blind, randomized trial, BSS significantly shortened disease duration at both study sites.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>2896219</pmid><doi>10.1093/infdis/157.5.1008</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0022-1899 |
| ispartof | The Journal of infectious diseases, 1988-05, Vol.157 (5), p.1008-1013 |
| issn | 0022-1899 1537-6613 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78171438 |
| source | Oxford University Press Archive |
| subjects | Aeromonas - isolation & purification Africa, Western Animals Antibacterial agents Antibiotics. Antiinfectious agents. Antiparasitic agents Bacterial diseases Biological and medical sciences Bismuth Cryptosporidium - isolation & purification Diarrhea Diarrhea - drug therapy Diarrhea - etiology Diarrhea - microbiology Dosage Entamoeba histolytica - isolation & purification Escherichia coli - isolation & purification Etiology Feces - microbiology Feces - parasitology Female Gastroenterology. Liver. Pancreas. Abdomen Giardia - isolation & purification Human bacterial diseases Humans Infectious diseases Male Medical sciences Mexico Miscellaneous Organometallic Compounds - therapeutic use Original Articles Pathogens Pharmacology. Drug treatments Placebos Salicylates - therapeutic use Shigella Shigella - isolation & purification Specimen Handling - instrumentation Specimens Symptoms Travel Travelers Tropical medicine |
| title | Travelers' Diarrhea in West Africa and Mexico: Fecal Transport Systems and Liquid Bismuth Subsalicylate for Self-Therapy |
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