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Förebygga turistdiarré: - är råden kring kost och vaccin evidensbaserade?
Halmstad University, School of Social and Health Sciences (HOS).
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Prevention of traveller´s diarrhoea : - is the advice given on diet and vaccine evidence based? (English)
Abstract [sv]

Resandet mellan länder ökar allt mer och många resor går från rikare till fattigare länder i tropiska och subtropiska områden. De resande möter ett annat panorama av sjukdomar än i hemlandet och det vanligaste hälsoproblemet bland resenärer är turistdiarré. Inför resan söker många råd på en vaccinationsmottagning. Råd ges bland annat kring kost och vaccin för att förhindra turistdiarré. Syftet med studien var att undersöka det vetenskapliga underlaget för att sjuksköterskor skall kunna ge evidensbaserade råd kring kosthållning och vaccination för att undvika turistdiarré. Sökningar i framför allt PubMed och Cinahl utmynnade i 15 kvantitativa artiklar som kom att utgöra material till litteraturstudiens resultat. Litteraturen gav motstridiga svar på frågan om kostrådens betydelse för att förhindra turistdiarré. Resultaten antydde att risken för att insjukna varierade med ålder, resans duration och destination. Resultatet visade vidare att det finns ett vaccin med viss effekt mot turistdiarré. Färre vaccinerade insjuknade och de som insjuknade var sjuka kortare tid. Vaccinet skyddade framför allt mot svårare diarrésjukdom. De studier som fanns gjorda på området var få och i många fall relativt gamla. Fler studier behövs för att säkrare slutsatser skall kunna dras som underlag för individuellt anpassade evidensbaserade råd.

 

Abstract [en]

Travel between countries continues to increase and many trips go from richer to poorer countries in tropical and subtropical areas. Travellers meet a different spectrum of diseases than in their home countries and the most common health problem among travellers is travellers´diarrhoea. It is common among travellers to seek advice at a travel clinic prior                                         to the trip. Advice is given on, among other things,                                                          diet and vaccine to prevent travellers´ diarrhoea. The aim of this literature study was to investigate the evidence base to enable nurses to provide evidence based advice on diet and vaccine to prevent travellers´ diarrhoea. The search for articles in mainly PubMed and Cinahl lead to 15 quantitative articles, which constituted material for the result of the literature study. The literature gave contradictory answers to the question of the significance of dietary advice. The results indicated that the risk for travellers´ diarrhoea varied with age, duration of the trip and destination. The results further showed that there is a vaccine with some effect against travellers´ diarrhoea. There was a lower incidence rate among the vaccinated and the ones who did contract travellers´ diarrhoea were ill during a shorter period of time. The vaccine protected mainly against more severe diarrhoea. The studies carried out on the area were few and in many cases relatively old. More studies are needed to enable assertive conclusions as material for individually suited evidence based advice.                                             

Place, publisher, year, edition, pages
2012. , 43 p.
Keyword [en]
advice, diet, traveller´s diarrhoea, vaccine
Keyword [sv]
kost, råd, turistdiarré, vaccin
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:hh:diva-17934OAI: oai:DiVA.org:hh-17934DiVA: diva2:533948
Subject / course
Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-06-19 Created: 2012-06-13 Last updated: 2012-06-19Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf