当前位置： SCI文献检索 > BRITISH JOURNAL OF SPORTS MEDICINE期刊下所有文献 > Setting standards for the prevention and management of travellers' diarrhoea in elite athletes: an audit of one team during the Youth Commonwealth Games in India.

Setting standards for the prevention and management of travellers' diarrhoea in elite athletes: an audit of one team during the Youth Commonwealth Games in India.

Abstract：

OBJECTIVE:Devise and implement evidence-based guidelines for the prevention and management of travellers' diarrhoea (TD), and establish the incidence of TD during an elite sporting trip to India. DESIGN:Literature review and audit. SETTING:Youth Commonwealth Games in India 2008. PARTICIPANTS:All members of the Team England Squad. MAIN OUTCOME MEASURES:Hygiene guidelines included only drinking bottled water, eating hot food and regular hand washing with alcohol gel. Ciprofloxacin was offered to non-athlete team members as prophylaxis but not to athletes due to its possible association with tendon disease. Following implementation of these guidelines, the incidence of travellers' diarrhoea (TD) in the whole squad was 24/122 (20%), compared with 7/14 (50%) on the reconnaissance trip (preguidelines). In those taking prophylactic ciprofloxacin, the incidence was 4/33 (12%), compared with 20/89 (23%) in those not taking ciprofloxacin. No athlete missed their event due to TD. CONCLUSIONS:The incidence of TD was less during the event than on the reconnaissance trip. The relative contribution to this reduction in strict hygiene guidelines as compared with potentially improved catering hygiene arrangements is unknown. Prophylactic ciprofloxacin also reduced the incidence of TD but it is probably not appropriate for use in elite athletes. Rifaximin may be an alternative for this group.

journal_name

Br J Sports Med

journal_title

British journal of sports medicine

authors

Tillett E,Loosemore M

doi

10.1136/bjsm.2009.063396

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1045-8

issue

13

eissn

0306-3674

issn

1473-0480

pii

bjsm.2009.063396

journal_volume

43

pub_type

杂志文章,评审

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