Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023
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. Duri...
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2024-10-01
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| Series: | Emerging Infectious Diseases |
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| Online Access: | https://wwwnc.cdc.gov/eid/article/30/14/24-0308_article |
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| author | 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 Hunter J. Smith |
| author_facet | 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 Hunter J. Smith |
| author_sort | Melissa S. Anderson |
| collection | DOAJ |
| description |
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.
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| format | Article |
| id | doaj-art-6eb1f341e71145a5be4837f2a581d4db |
| institution | Kabale University |
| issn | 1080-6040 1080-6059 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj-art-6eb1f341e71145a5be4837f2a581d4db2024-11-12T13:39:38ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592024-10-013014192510.3201/eid3014.240308Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023Melissa S. AndersonEvelyn W. MahuguHayley R. AshbaughAaron G. WellbrockMaia NozadzeSanjaya K. ShresthaGiselle M. SotoRania A. NadaPrativa PandeyMathew D. EsonaDaniel J. CrouchMichelle Hartman-LaneHunter J. Smith 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. https://wwwnc.cdc.gov/eid/article/30/14/24-0308_articleTravelers’ diarrheaacute diarrheaacute gastroenteritisepidemiologyetiologymilitary |
| spellingShingle | 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 Hunter J. Smith Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023 Emerging Infectious Diseases Travelers’ diarrhea acute diarrhea acute gastroenteritis epidemiology etiology military |
| title | Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023 |
| title_full | Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023 |
| title_fullStr | Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023 |
| title_full_unstemmed | Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023 |
| title_short | Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023 |
| title_sort | etiology and epidemiology of travelers diarrhea among us military and adult travelers 2018 2023 |
| topic | Travelers’ diarrhea acute diarrhea acute gastroenteritis epidemiology etiology military |
| url | https://wwwnc.cdc.gov/eid/article/30/14/24-0308_article |
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