Epidemiological trends of traveler's diarrhea in Japan: An analysis of imported infectious disease registry data from 2017-2022.

Autor:	Maruki T; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan., Yamamoto K; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan., Yamato M; Rinku General Medical Center, Osaka, Japan., Sahara T; Tokyo Metropolitan Ebara Hospital, Tokyo, Japan., Shirano M; Osaka City General Hospital, Osaka, Japan., Sakamoto N; Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan., Hase R; Japanese Red Cross Narita Hospital, Chiba, Japan., Shinohara K; Kyoto City Hospital, Kyoto, Japan.; Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan., Yoshimura Y; Yokohama Municipal Citizen's Hospital, Kanagawa, Japan., Imakita N; Nara Medical University Hospital, Nara, Japan., Kodama F; Sapporo City General Hospital, Hokkaido, Japan., Yamamoto Y; Toyama University Hospital, Toyama, Japan., Yokota K; Kagawa Prefectural Central Hospital, Kagawa, Japan., Yoshimi Y; Japanese Red Cross Nagoya Daini Hospital, Aichi, Japan., Hasegawa C; Nagoya City University East Medical Center, Aichi, Japan., Kutsuna S; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.; Graduate School of Medicine Faculty of Medicine, Osaka University, Osaka, Japan., Ohmagari N; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
Jazyk:	angličtina
Zdroj:	Global health & medicine [Glob Health Med] 2023 Dec 31; Vol. 5 (6), pp. 372-376.
DOI:	10.35772/ghm.2023.01079
Abstrakt:	Traveler's diarrhea (TD) is a global problem, and identifying the causative organisms of TD is important for adequate treatment. Therefore, this study retrospectively analyzed TD cases in patients who returned to Japan after traveling abroad to determine the causative organisms by travel region. We included patients with a final diagnosis of TD registered in the Japan Registry for Infectious Diseases from Abroad database from September 25, 2017, to September 1, 2022, from 14 medical institutions. A total of 919 patients were analyzed; the causative TD pathogen was identified in 188 cases (20%), of which 154 were caused by diarrheagenic bacteria, the most common being Campylobacter spp. (64%). A 2.2 mg/dL C-reactive protein concentration cutoff value had some predictive ability for bacterial TD (negative predictive value, 89%). Therefore, the C-reactive protein level may help rule out bacterial diarrhea and prevent unnecessary antimicrobial administration when patients cannot provide a stool specimen. Competing Interests: Yamamoto K received research grants from Fujirebio, Inc., Mizuho Medy, Co., Ltd., VisGene, Co., Ltd., Sanyo Chemical Industries, Ltd., Canon Medical Systems Co., and CarbGeM Inc. outside of the submitted work; the other authors have no conflicts of interest to disclose. (2023, National Center for Global Health and Medicine.)
Databáze:	MEDLINE
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