A prospective study of acute diarrhea in a cohort of United States military personnel on deployment to the Multinational Force and Observers, Sinai, Egypt

Mark S. Riddle, David M. Rockabrand, Carey Schlett, Marshall R. Monteville, Robert W. Frenck, Marcy Romine, Salwa F. Ahmed, John W. Sanders

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

To better understand the epidemiology of diarrhea in deployed personnel to the Middle East, a prospective cohort study of travelers' diarrhea (TD) was conducted between May 2004 and January 2005 at the Multinational Force and Observers (MFO) camp in the southern Sinai. A baseline entry questionnaire and stool specimen was provided on study entry, and volunteers were followed every 6 weeks. Of 211 volunteers, 145 (68.7%) completed one or more follow-up visits. In total, 416 follow-up surveys were completed, which described an overall incidence of 25.2 episodes per 100 person months (95% confidence interval = 21.2-30.0). Additionally, stools were collected in 72 of 77 diarrhea-associated clinic visits, with bacterial pathogens most commonly isolated (enterotoxigenic Escherichia coli in 30 [42%] samples and Campylobacter jejuni in 7 [10%] samples) Despite modern preventive methods, diarrhea is still a common problem for deployed US military personnel in Egypt, frequently resulting in diminished ability to work.

Original languageEnglish
Pages (from-to)59-64
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume84
Issue number1
DOIs
StatePublished - Jan 2011
Externally publishedYes

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