{"id":3489,"count":4,"description":"P\u00e2n\u0103 la 40% dintre c\u0103l\u0103torii \u00een destina\u021bii cu risc ridicat (Asia de Sud\/Asia de Sud-Est, Africa, America Latin\u0103) dezvolt\u0103 diaree \u00een primele dou\u0103 s\u0103pt\u0103m\u00e2ni. Majoritatea episoadelor sunt u\u0219oare \u0219i se autolimiteaz\u0103 \u00een 24\u201372 de ore doar cu rehidratare oral\u0103 \u2014 dar episoadele moderate-severe (febr\u0103, s\u00e2nge, v\u0103rs\u0103turi persistente, mai mult de 6 scaune\/zi) beneficiaz\u0103 de tratament antibiotic de rezerv\u0103 pentru a scurta durata \u0219i a reduce complica\u021biile post-infec\u021bioase.\n\n<strong>Op\u021biuni disponibile.<\/strong> Nitazoxanid\u0103 (antiprotozoar cu spectru larg \u2014 de prim\u0103 inten\u021bie pentru cryptosporidium \u0219i giardia, util \u00een anumite contexte de diaree viral\u0103 sau cronic\u0103) ca <a href=\"https:\/\/medsbase.com\/ro\/nizonide\/\">Nizonide<\/a>. Amoxicilin\u0103 + acid clavulanic (Augmentin) pentru anumite infec\u021bii bacteriene gastrointestinale ca <a href=\"https:\/\/medsbase.com\/ro\/augmentin\/\">Augmentin<\/a>. Eritromicin\u0103 (Althrocin) c\u00e2nd este disponibil\u0103. Trus\u0103 de c\u0103l\u0103torie combinat\u0103 ca <a href=\"https:\/\/medsbase.com\/ro\/medical-emergency-kit\/\">Trus\u0103 medical\u0103 de urgen\u021b\u0103<\/a>.\n\n<strong>Regimuri antibiotice standard de rezerv\u0103.<\/strong> Azitromicina 1 g doz\u0103 unic\u0103 este preferat\u0103 pentru Asia de Sud\/Asia de Sud-Est (unde rezisten\u021ba la fluoroquinolone este ridicat\u0103 la Campylobacter \u2014 consulta\u021bi <a href=\"https:\/\/medsbase.com\/ro\/antibiotics\/\">Antibiotice<\/a> catalogul nostru pentru op\u021biunile Asitomycin\/Azilup). Ciprofloxacina 500 mg de dou\u0103 ori pe zi timp de 1\u20133 zile pentru alte regiuni (America Latin\u0103, Africa). Loperamida (Imodium \u2014 consulta\u021bi <a href=\"https:\/\/medsbase.com\/ro\/diarrhoea-treatment\/\">Tratamentul diareei<\/a> categoria noastr\u0103) este un adjuvant de control al simptomelor, nu de prim\u0103 inten\u021bie \u00een diareea invaziv\u0103 cu s\u00e2nge sau febr\u0103.\n\n<strong>Insomnia acut\u0103 pe termen scurt (jet lag, doliu, stres tranzitoriu) \u2014 melatonina 1\u20133 mg cu 30\u201360 de minute \u00eenainte de culcare timp de 1\u20132 s\u0103pt\u0103m\u00e2ni. Tulburarea de faz\u0103 de somn \u00eent\u00e2rziat\u0103 (\u00een special la adolescen\u021bi \u0219i lucr\u0103torii \u00een schimburi) \u2014 melatonina 0,5\u20131 mg luat\u0103 cu 4\u20136 ore \u00eenainte de momentul dorit de adormire. Insomnia cronic\u0103 (mai mult de 3 luni) \u2014 terapia cognitiv-comportamental\u0103 pentru insomnie (CBT-I) este de prim\u0103 inten\u021bie; op\u021biuni farmacologice pentru cazuri selectate sub supraveghere medical\u0103.<\/strong> Diaree apoas\u0103 u\u0219oar\u0103, f\u0103r\u0103 febr\u0103 sau s\u00e2nge \u2014 doar SRO, continua\u021bi dieta normal\u0103. Simptome moderate (3+ scaune la 4 ore, crampe abdominale, febr\u0103 u\u0219oar\u0103) \u2014 azitromicin\u0103 sau ciprofloxacin\u0103 doz\u0103 unic\u0103. Simptome severe (scaune cu s\u00e2nge, febr\u0103 ridicat\u0103, deshidratare, v\u0103rs\u0103turi persistente) \u2014 acela\u0219i antibiotic + aten\u021bie medical\u0103 urgent\u0103. Suspectarea de infec\u021bie protozoar\u0103 (cronic\u0103\/recurent\u0103\/tratament antibiotic e\u0219uat\/expunere recent\u0103 la ap\u0103 dulce) \u2014 nitazoxanid\u0103.\n\n<strong>Important.<\/strong> Preven\u021bia prin igiena alimentelor \u0219i apei conteaz\u0103 mai mult dec\u00e2t chimioprofilaxia: ap\u0103 \u00eembuteliat\u0103 sau fiart\u0103, evita\u021bi ghea\u021ba \u00een b\u0103uturi, cur\u0103\u021ba\u021bi-o, g\u0103ti\u021bi-o sau l\u0103sa\u021bi-o pentru fructe \u0219i legume, evita\u021bi preparatele reci de bufet. Subsalicilatul de bismut (Pepto-Bismol) poate fi utilizat ca profilaxie \u00een c\u0103l\u0103torii selecte cu risc ridicat. Profilaxia antibiotic\u0103 nu este \u00een general recomandat\u0103 (rezisten\u021b\u0103\/efecte adverse); rezerva\u021bi antibioticele pentru tratamentul simptomelor stabilite. Diareea persistent\u0103 (mai mult de 14 zile) dup\u0103 c\u0103l\u0103torie, diareea cu s\u00e2nge, eozinofilie + istoric de c\u0103l\u0103torie sau simptome care apar &gt; 1 lun\u0103 dup\u0103 \u00eentoarcere necesit\u0103 evaluare specializat\u0103 (parazitologie, imagistic\u0103). Sarcin\u0103: azitromicin\u0103 preferat\u0103 \u00een loc de fluoroquinolone; loperamida este acceptabil\u0103. Toate produsele MedsBase sunt expediate de la <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/travellers-diarrhea-treatment\/","name":"Tratament pentru diareea c\u0103l\u0103torului","slug":"travellers-diarrhea-treatment","taxonomy":"product_cat","parent":3448,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3448"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}