{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T13:12:50Z","timestamp":1766754770702,"version":"build-2065373602"},"reference-count":35,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Traveler\u2019s diarrhea (TD) is one of the most common travel-related health problems, largely interfering with planned activities and potentially contributing to antimicrobial resistance. This study aimed to characterize the knowledge about TD among pre-travel consultation users of one Portuguese travel clinic and determine the impact of the consultation on knowledge levels. Using a quasi-experimental, separate-sample pretest\u2013posttest design, participants were randomly assigned to two groups: control\/pre-consultation group (CG) or experimental\/post-consultation group (EG). An anonymous self-administered questionnaire was used. A total of 470 participants were analyzed (227 CG; 243 EG). The EG\/post-consultation group showed significant improvement in knowledge, with correct answers increasing from 63% to 75% (p &lt; 0.001). However, knowledge gaps persisted: over 50% were unaware of TD\u2019s self-limited nature, 30% did not recognize loperamide as a symptom reliever, and 36% believed all travelers should take antibiotics to prevent TD. The educational level and previous travel outside Europe influenced baseline knowledge; previous travel medicine consultations and information on TD improved knowledge in both groups and made it easier to acquire knowledge on the subject. Thus, a pre-travel consultation effectively increased travelers\u2019 TD knowledge. However, post-consultation knowledge levels remained suboptimal, indicating the need for targeted interventions to increase travelers\u2019 literacy and optimize pre-travel consultations.<\/jats:p>","DOI":"10.3390\/tropicalmed9100232","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:29:26Z","timestamp":1728361766000},"page":"232","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["What Do Travelers Know about Traveler\u2019s Diarrhea? Impact of a Pre-Travel Consultation in the Lisbon Area, Portugal"],"prefix":"10.3390","volume":"9","author":[{"given":"Joana","family":"Estrada","sequence":"first","affiliation":[{"name":"NOVA National School of Public Health, Universidade NOVA de Lisboa, UNL, 1600-560 Lisbon, Portugal"},{"name":"Public Health Unit, Local Health Unit Algarve, Rua de Antero Nobre, 8700-240 Olh\u00e3o, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7004-0268","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Concei\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, Rua da Junqueira 100, 1349-008 Lisboa, Portugal"},{"name":"Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation Towards Global Health, LA-REAL, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, Rua da Junqueira 100, 1349-008 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1383-1319","authenticated-orcid":false,"given":"Gon\u00e7alo Figueiredo","family":"Augusto","sequence":"additional","affiliation":[{"name":"NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, Universidade NOVA de Lisboa, UNL, 1600-560 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7330-6930","authenticated-orcid":false,"given":"Rosa","family":"Teod\u00f3sio","sequence":"additional","affiliation":[{"name":"Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, Rua da Junqueira 100, 1349-008 Lisboa, Portugal"},{"name":"Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation Towards Global Health, LA-REAL, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, Rua da Junqueira 100, 1349-008 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"ref_1","unstructured":"United Nations World Tourism Organization (2024, April 04). 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