{"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>\u0394\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b5\u03c2 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ad\u03c2.<\/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\/el\/nizonide\/\">Nizonide<\/a>. Amoxicillin + clavulanate (Augmentin) for selected bacterial GI infections as <a href=\"https:\/\/medsbase.com\/el\/augmentin\/\">Augmentin<\/a>. Erythromycin (Althrocin) when in stock. Combination travel kit as <a href=\"https:\/\/medsbase.com\/el\/medical-emergency-kit\/\">\u039a\u03b9\u03c4 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u0388\u03ba\u03c4\u03b1\u03ba\u03c4\u03b7\u03c2 \u0391\u03bd\u03ac\u03b3\u03ba\u03b7\u03c2<\/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\/el\/antibiotics\/\">\u0391\u03bd\u03c4\u03b9\u03b2\u03b9\u03bf\u03c4\u03b9\u03ba\u03ac<\/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\/el\/diarrhoea-treatment\/\">\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u0394\u03b9\u03ac\u03c1\u03c1\u03bf\u03b9\u03b1\u03c2<\/a> category) is symptom-control adjunct, not first-line in invasive bloody diarrhoea or fever.\n\n<strong>\u039f\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c7\u03c1\u03ae\u03c3\u03b7\u03c2.<\/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>\u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc.<\/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 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2<\/strong> \u03bc\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\">\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/a>.","link":"https:\/\/medsbase.com\/el\/travellers-diarrhea-treatment\/","name":"\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u0394\u03b9\u03ac\u03c1\u03c1\u03bf\u03b9\u03b1 \u03c4\u03c9\u03bd \u03a4\u03b1\u03be\u03b9\u03b4\u03b9\u03c9\u03c4\u03ce\u03bd","slug":"travellers-diarrhea-treatment","taxonomy":"product_cat","parent":3448,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat\/3489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat\/3448"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product?product_cat=3489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}