Antibiotics to prevent Diarrhoea.
This is reasonable for short trips (less than 3 weeks). Indications include persons
with
- Inflammatory bowel disease, Immunocompromised persons
including individuals who have had their spleen removed or poorly
functioning spleen (eg Hodgkin's lymphoma).
- Insulin dependant diabetics
- Persons on strong H2 blockers or proton pump
inhibitors.(Losec, Somac, Zantac)
- Business travellers whose purpose of the trip would be
ruined will often chose this option. - Norfloxacin 400mg daily, Ciprofloxacin 500mg daily
or Bactrim 1 DS daily could be used. Doxycycline is less effective.
Azithromycin is useful for pregnant women and children
** WHO