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antibioticos macrolidos - Farmacologia Virtual

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Traveler's diarrhea: updates for pediatricians<br />

Pediatr Ann. 2008 Dec;37(12):814-20.<br />

Ang JY, Mathur A.<br />

Children who travel are at risk of developing the same illnesses that affect<br />

adult travelers. Treatment, etiology and actual risk of TD in children<br />

are not well defined. Prevention and self-treatment of TD should be<br />

discussed in great detail during pre-travel counseling. This includes<br />

information and instructions on various preventive measures as well as<br />

when to use medications and the potential adverse effects associated<br />

with these medications.<br />

A TD that is mild can be managed effectively by appropriate use of oral<br />

rehydration solutions. Families should be advised to carry ORS<br />

packets and start treatment in children as soon as the diarrhea begins.<br />

Self treatment with antibiotics such as azithromycin may be considered<br />

in children if diarrhea is moderate to severe.<br />

Caregivers should contact local health authorities if there is no<br />

improvement especially after self treatment with antibiotics.

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