Gastrointestinal Infection Among International Travelers Globally
- Greenwood Z
- Black J
- Weld L
- O'Brien D
- Leder K
- Von Sonnenburg F
- Pandey P
- Schwartz E
- Connor BA
- Brown G
- Freedman DO
- Torresi J
- Barnett E
- Carosi G
- Castelli F
- Chen L
- Wilson M
- Delmont J
- Parola P
- Gurtman A
- Hale D
- Gelman S
- Jenks NP
- Jong E
- Haulman J
- Keystone J
- Kain K
- Kozarsky P
- Franco-Paredes C
- Licitra C
- Loutan L
- Lynch M
- McDonald S
- McLellan S
- Müller R
- Nutman T
- Klion A
- Pérez CP
- Sack B
- McKenzie R
- Sagara H
- Schlagenhauf P
- Steffen R
- Shaw M
- Stauffer W
- Walker P
- Wilder-Smith A
- Lim PL
- Wittner M
DOIAbstract
BACKGROUND: Data on relative rates of acquisition of gastrointestinal infections by travelers are incomplete. The objective of this study was to analyze infections associated with oral ingestion of pathogens in international travelers in relation to place of exposure. METHODS: We performed a multicenter, retrospective observational analysis of 6,086 travelers ill enough with any gastrointestinal infection to seek medical care at a GeoSentinel clinic after completion of travel during 2000 to 2005. We determined regional and country-specific reporting rate ratios (RRRs) in comparison to risk in northern and western Europe. RESULTS: Travel to sub-Saharan Africa (RRR = 282), South America (RRR = 203), and South Asia (RRR = 890) was associ...
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