Locals get travellers' diarrhoea too: risk factors for diarrhoeal illness and pathogenic Escherichia coli infection across an urban-rural gradient in Ecuador.

ABSTRACT:

Objectives

Diarrhoea is a common and well-studied cause of illness afflicting international travellers. However, traveller's diarrhoea can also result from travel between high and low disease transmission regions within a country, which is the focus of this study.

Methods

We recruited participants for a case-control study of diarrhoea at four sites along an urban-rural gradient in Northern Ecuador: Quito, Esmeraldas, Borbón and rural communities outside of Borbón. At each of these sites, approximately 100 subjects with diarrhoea (cases) were recruited from Ministry of Health clinics and were age-matched with subjects visiting the same clinics for other complaints (controls).

Results

Travellers to urban destinations had higher risk of diarrhoea and diarrhoeagenic Esche

SUBMITTER: Smith SM 

PROVIDER: S-EPMC7476357 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature