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Antibiotics are effective in reducing the duration of diarrhea by ≈1–2 days in cases caused by bacterial pathogens susceptible to the antibiotic prescribed. However, concerns about the adverse consequences of using antibiotics to treat TD remain.
Empiric treatment of traveler’s diarrhea with antibiotics and loperamide is effective and often limits symptoms to one day. Rifaximin, a recently approved antibiotic, can be used for the...
Antibiotic treatment is best reserved for cases that fail to quickly respond to loperamide. Antibiotic resistance is now widespread. Nonabsorbable antibiotics, immunoprophylaxis with vaccines...
Your doctor may give you antibiotics to treat travelers’ diarrhea, but consider using them only for severe cases. If you take antibiotics, take them exactly as your doctor instructs. If severe diarrhea develops soon after you return from your trip, see a doctor and ask for stool tests so you can find out which antibiotic will work for you.
Some natural antibiotics like oil of oregano or extract of echinacea may prevent the infections that cause traveler’s diarrhea. But talk to your healthcare provider first to make sure these treatments are safe for you to use.
Multiple observational studies have found that travelers (in particular, travelers to South and Southeast Asia) who develop TD and take antibiotics are at risk for colonization with extended-spectrum β-lactamase–producing Enterobacteriaceae (ESBL-PE).
There is a growing recognition that travelers' diarrhea and its self-treatment abroad are associated with the acquisition of organisms harboring antibiotic resistance [5-10]. The treatment and prevention of travelers' diarrhea are discussed here.