Evidence map›Paper›PMID 31084597›Full record

ReviewRecent patents on inflammation & allergy drug discovery2019

Travelers' Diarrhea: A Clinical Review.

Alexander K C Leung, Amy A M Leung, Alex H C Wong, Kam L Hon

Open access · hybridAbstract readReview
In one paragraph

Review in Recent patents on inflammation & allergy drug discovery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Adjunctive use ofTranslational gastroenterology and hepatology · 2026
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  8. Review
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  10. A Case Report ofInfection and drug resistance · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Alexander K C LeungDepartment of Pediatrics, The University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Amy A M LeungDepartment of Family Medicine, The University of Alberta, Edmonton, Alberta, Canada.
Alex H C WongDepartment of Family Medicine, The University of Calgary, Calgary, Alberta, Canada.
Kam L HonDepartment of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong.
University of Alberta · CAChinese University of Hong Kong · HKUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTravelers' diarrhea is the most common travel-related malady. It affects millions of international travelers to developing countries annually and can significantly disrupt travel plans.

objectiveTo provide an update on the evaluation, diagnosis, treatment, and prevention of traveler's diarrhea.

methodsA PubMed search was completed in Clinical Queries using the key term "traveler's diarrhea". The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews. The search was restricted to English literature. Patents were searched using the key term "traveler's diarrhea" from www.freepatentsonline.com.

resultsBetween 10% and 40% of travelers develop diarrhea. The attack rate is highest for travelers from a developed country who visit a developing country. Children are at particular risk. Travelers' diarrhea is usually acquired through ingestion of food and water contaminated by feces. Most cases are due to a bacterial pathogen, commonly, Escherichia coli, and occur within the first few days after arrival in a foreign country. Dehydration is the most common complication. Pretravel education on hygiene and on the safe selection of food items is important in minimizing episodes. For mild travelers' diarrhea, the use of antibiotic is not recommended. The use of bismuth subsalicylate or loperamide may be considered. For moderate travelers' diarrhea, antibiotics such as fluoroquinolones, azithromycin, and rifaximin may be used. Loperamide may be considered as monotherapy or adjunctive therapy. For severe travelers' diarrhea, antibiotics such as azithromycin, fluoroquinolones, and rifaximin should be used. Azithromycin can be used even for the treatment of dysentery whereas fluoroquinolones and rifaximin cannot be used for such purpose. Recent patents related to the management of travelers' diarrhea are discussed.

conclusionAlthough travelers' diarrhea is usually self-limited, many travelers prefer expedient relief of diarrhea, especially when they are traveling for extended periods by air or ground. Judicious use of an antimotility agent and antimicrobial therapy reduces the duration and severity of diarrhea.

Indexed as

Anti-Bacterial AgentsAzithromycinBismuthDehydrationDeveloping CountriesDysenteryEscherichia coliEscherichia coli InfectionsFluoroquinolonesFood ContaminationHealth Knowledge, Attitudes, PracticeHumansLoperamideOrganometallic CompoundsPatient Education as TopicSalicylatesAnti-Bacterial AgentsAzithromycinBismuthbismuth subsalicylateFluoroquinolonesLoperamideOrganometallic CompoundsSalicylatesAntibioticantimotility agentcontaminated foodEscherichia colioral rehydrationvaccination.

Identifiers

PMID31084597
PMCPMC6751351
OpenAlexW2945149001

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.