Rhode Island medical journal
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Travelers to developing countries are at risk of contracting tropical infectious diseases that they or their physicians may be unfamiliar with. Proper pre-travel counsel should be given concerning general health risks that may be encountered abroad, immunizations, malaria prophylaxis and prevention and treatment of traveler's diarrhea. In Rhode Island, expert advice may be obtained at the Traveler's Clinics at the Miriam Hospital in Providence (401-274-3700 or 331-8500, ext. 4075) and the Memorial Hospital in Pawtucket (401-722-6000, ext. 2545). ⋯ Olds and S. M. Opal, respectively.
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Traveler's diarrhea can often be avoided by following safe food and water practices while traveling in developing countries. Prophylactic agents are generally not indicated in the prevention of traveler's diarrhea. ⋯ Early empiric use of antimicrobial agents including trimethoprim-sulfamethoxazole or quinolone agents offers an excellent means of treating traveler's diarrhea and preventing its potential complications. Travelers who develop dysentery, high fever, or prolonged diarrhea lasting more than 10-14 days should seek medical attention for specific diagnosis and appropriate antimicrobial therapy.