1. Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023
- Author
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Melissa S. Anderson, Evelyn W. Mahugu, Hayley R. Ashbaugh, Aaron G. Wellbrock, Maia Nozadze, Sanjaya K. Shrestha, Giselle M. Soto, Rania A. Nada, Prativa Pandey, Mathew D. Esona, Daniel J. Crouch, Michelle Hartman-Lane, and Hunter J. Smith
- Subjects
Travelers’ diarrhea ,acute diarrhea ,acute gastroenteritis ,epidemiology ,etiology ,military ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Abstract
Travelers’ diarrhea has a high incidence rate among deployed US military personnel and can hinder operational readiness. The Global Travelers’ Diarrhea study is a US Department of Defense–funded multisite surveillance effort to investigate the etiology and epidemiology of travelers’ diarrhea. During 2018–2023, we enrolled 512 participants at partner institutions in 6 countries: Djibouti, Georgia, Egypt, Honduras, Nepal, and Peru. Harmonized laboratory methods conducted at each partner institution identified >1 pathogens, including Escherichia coli (67%–82%), norovirus (4%–29%), and Campylobacter jejuni (2%–20%), in 403 (79%) cases. Among cases, 79.7% were single infections, 19.6% were double infections, and 0.7% were triple infections. The most common enterotoxigenic E. coli colonization factors identified were CS3 (25%) and CS21 (25%), followed by CS2 (18%) and CS6 (15%). These data can inform best treatment practices for travelers’ diarrhea and support US military health readiness.
- Published
- 2024
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