CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Diarrhoea - prevention and advice for travellers - Management
Basis for recommendation
These recommendations are based on guidance issued by the World Health Organization (WHO) [WHO, 2005; WHO, 2007; WHO, 2009].
- Although evidence is lacking, these recommendations are pragmatic (given that most traveller's diarrhoea is caused by contaminated food or water) and are widely recommended [Health Canada, 2004; Al-Abri et al, 2005; Castelli et al, 2006; Hill et al, 2006; Health Protection Scotland, 2007; NaTHNaC, 2007; Ang and Mathur, 2008; Christenson, 2008; DuPont, 2008; Hill and Ryan, 2008; CDC, 2009; DuPont et al, 2009b; Foreign & Commonwealth Office, 2009; WHO, 2009].
- There is limited evidence from two UK studies that pre-travel advice can help to reduce the risk of travel illness (including traveller's diarrhoea) and the need for medical assistance while aboard [McIntosh et al, 1997; Evans et al, 2001].
© NHS Institute for Innovation and Improvement