Guidelines for the prevention and management of travellers’ diarrhoea (TD)
Strength of recommendation | |
Guidance: prevention | |
All team members receive written advice regarding the prevention of TD prior to travel (to cover hygiene, food and drink choices) | Strong |
All team members receive oral advice regarding the prevention of TD (to cover hygiene, food and drink choices) | Strong |
All team members issued with alcohol hand gel and instructed in its use | Strong |
Ciprofloxacin prophylaxis for all non-competing team members | Strong |
Rifaximin prophylaxis for all competing team members | Consider (good evidence in non-athletic populations) |
Probiotics for all team members | Consider (but no clear supporting evidence) |
Guidance: management | |
Simple TD managed with fluid and electrolyte replacement with or without loperamide | Strong |
Significant TD managed as for simple TD with the addition of empirical antibiotics as per local advice, after a stool culture is obtained | Strong |
Isolate cases of TD where possible | Strong |