Etiology and Epidemiology of Travelers' Diarrhea among US Military and Adult Travelers, 2018-2023

被引：0

作者：

Anderson, Melissa S. ^{[1
,2
]}

Mahugu, Evelyn W. ^{[3
,4
]}

Ashbaugh, Hayley R. ^{[5
]}

Wellbrock, Aaron G. ^{[1
,2
]}

Nozadze, Maia ^{[6
]}

Shrestha, Sanjaya K. ^{[7
]}

Soto, Giselle M. ^{[8
]}

Nada, Rania A. ^{[9
]}

Pandey, Prativa ^{[10
]}

Esona, Mathew D. ^{[1
]}

Crouch, Daniel J. ^{[1
]}

Hartman-Lane, Michelle ^{[1
]}

Smith, Hunter J. ^{[3
]}

机构：

[1] Naval Hlth Res Ctr, San Diego, CA USA

[2] Gen Dynam Informat Technol, San Diego, CA USA

[3] Armed Forces Hlth Surveillance Div, 11800 Tech Rd,Suite 200, Silver Spring, MD 20904 USA

[4] Gen Dynam IT, Silver Spring, MD USA

[5] US FDA, Silver Spring, MD USA

[6] Walter Reed Army Inst Res Europe Middle East, Tbilisi, Georgia

[7] Walter Reed Armed Forces Res Inst, Med Sci Res Unit Nepal, Kathmandu, Nepal

[8] US Naval Med Res Unit South, Lima, Peru

[9] US Naval Med Res Unit EURAFCENT, Cairo, Egypt

[10] CANADIAN INT WATER & ENERGY CONSULTANTS CLIN, Kathmandu, Nepal

来源：

EMERGING INFECTIOUS DISEASES | 2024年 / 30卷 / 14期

关键词：

PCR;

D O I：

10.3201/eid3014.240308

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Travelers' diarrhea has a high incidence rate among deployed US military personnel and can hinder operational readiness. The Global Travelers' Diarrhea study is a US Department of Defense-funded multisite surveillance effort to investigate the etiology and epidemiology of travelers' diarrhea. During 2018-2023, we enrolled 512 participants at partner institutions in 6 countries: Djibouti, Georgia, Egypt, Honduras, Nepal, and Peru. Harmonized laboratory methods conducted at each partner institution identified >1 pathogens, including Escherichia coli (67%-82%), norovirus (4%-29%), and Campylobacterjejuni(2%-20%), in 403 (79%) cases. Among cases, 79.7% were single infections, 19.6% were double infections, and 0.7% were triple infections. The most common enterotoxigenic E. coli colonization factors identified were CS3 (25%) and CS21 (25%), followed by CS2 (18%) and CS6 (15%). These data can inform best treatment practices for travelers' diarrhea and support US military health readiness.

引用

页数：126

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