{"id":3489,"count":4,"description":"Up to 40% of travellers to high-risk destinations (South \/ Southeast Asia, Africa, Latin America) develop diarrhoea within the first two weeks. Most episodes are mild and self-limiting in 24\u201372 hours with oral rehydration alone \u2014 but moderate-severe episodes (fever, blood, persistent vomiting, more than 6 stools\/day) benefit from stand-by antibiotic treatment to shorten duration and reduce post-infectious complications.\n\n<strong>Skladem.<\/strong> Nitazoxanide (broad-spectrum antiprotozoal \u2014 first-line for cryptosporidium and giardia, useful in selected viral and chronic diarrhoeal contexts) as <a href=\"https:\/\/medsbase.com\/cs\/nizonide\/\">Nizonide<\/a>. Amoxicillin + clavulanate (Augmentin) for selected bacterial GI infections as <a href=\"https:\/\/medsbase.com\/cs\/augmentin\/\">Augmentin<\/a>. Erythromycin (Althrocin) when in stock. Combination travel kit as <a href=\"https:\/\/medsbase.com\/cs\/medical-emergency-kit\/\">L\u00e9k\u00e1rni\u010dka prvn\u00ed pomoci<\/a>.\n\n<strong>Standard stand-by antibiotic regimens.<\/strong> Azithromycin 1 g single dose is preferred for South \/ Southeast Asia (where fluoroquinolone resistance is high in Campylobacter \u2014 see our <a href=\"https:\/\/medsbase.com\/cs\/antibiotics\/\">Antibiotika<\/a> catalogue for Asitomycin \/ Azilup options). Ciprofloxacin 500 mg twice daily for 1\u20133 days for other regions (Latin America, Africa). Loperamide (Imodium \u2014 see our <a href=\"https:\/\/medsbase.com\/cs\/diarrhoea-treatment\/\">L\u00e9\u010dba pr\u016fjmu<\/a> category) is symptom-control adjunct, not first-line in invasive bloody diarrhoea or fever.\n\n<strong>Jak pou\u017e\u00edvat.<\/strong> Mild watery diarrhoea, no fever or blood \u2014 ORS only, continue normal diet. Moderate symptoms (3+ stools per 4-hour period, abdominal cramping, mild fever) \u2014 single-dose azithromycin or ciprofloxacin. Severe symptoms (bloody stools, high fever, dehydration, persistent vomiting) \u2014 same antibiotic + urgent medical attention. Suspected protozoal infection (chronic \/ recurrent \/ failed antibiotic treatment \/ recent freshwater exposure) \u2014 nitazoxanide.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> Prevention by food and water hygiene matters more than chemoprophylaxis: bottled or boiled water, avoid ice in drinks, peel-it-cook-it-or-leave-it for fruit and vegetables, avoid cold buffet items. Bismuth subsalicylate (Pepto-Bismol) can be used as travel-prophylaxis in selected high-risk trips. Antibiotic prophylaxis is generally not recommended (resistance \/ side-effects); reserve antibiotics for treatment of established symptoms. Persistent diarrhoea (more than 14 days) after travel, bloody diarrhoea, eosinophilia + travel history, or symptoms developing &gt; 1 month after return need specialist evaluation (parasitology, imaging). Pregnancy: azithromycin preferred over fluoroquinolones; loperamide is acceptable. All MedsBase products ship from <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/travellers-diarrhea-treatment\/","name":"L\u00e9\u010dba cestovatelsk\u00e9ho pr\u016fjmu","slug":"travellers-diarrhea-treatment","taxonomy":"product_cat","parent":3448,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3448"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}