Traveler's diarrhea

Clinical criteria[1]Riddle MS, Connor BA, Beeching NJ, et al. Guidelines for the prevention and treatment of travelers' diarrhea: a graded expert panel report. J Travel Med. 2017 Apr 1;24(suppl 1):S57-74. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731448 http://www.ncbi.nlm.nih.gov/pubmed/28521004?tool=bestpractice.com [28]Riddle MS, DuPont HL, Connor BA. ACG clinical guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol. 2016 May;111(5):602-22. http://gi.org/guideline/diagnosis-treatment-and-prevention-of-acute-diarrheal-infections-in-adults http://www.ncbi.nlm.nih.gov/pubmed/27068718?tool=bestpractice.com

Classic TD: ≥3 unformed stools per 24 hours with at least 1 additional symptom (cramps, nausea, vomiting, fever, blood in stools) or more unformed stools without additional symptoms.

• Mild (acute): diarrhea that is tolerable, is not distressing, and does not interfere with planned activities.

• Moderate (acute): diarrhea that is distressing or interferes with planned activities.

• Severe (acute): diarrhea that is incapacitating or completely prevents planned activities; all dysentery (passage of grossly bloody stools) is considered severe.

• Persistent: diarrhea lasting >14 days.