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Food and Waterborne Illness During PregnancySpecific Recommendations for PregnancyFood and Waterborne Illness During PregnancyIt is especially important for pregnant women to adhere strictly to food and water precautions while traveling in developing countries because the consequences may be more severe than diarrhea and may have serious sequelae (e.g., toxoplasmosis, listeriosis). Suspect drinking water should be boiled to avoid long-term use of iodine-containing purification systems. Iodine tablets can probably be used for travel up to several weeks, but congenital goiters have been reported in association with administration of iodine-containing drugs during pregnancy. Oral rehydration is the mainstay of therapy for travelers’ diarrhea. Bismuth subsalicylate compounds are contraindicated because of the theoretical risks of fetal bleeding from salicylates and teratogenicity from the bismuth. The combination of kaolin and pectin may be used, and loperamide should be used only when necessary. The antibiotic treatment of travelers’ diarrhea during pregnancy can be complicated. Azithromycin or an oral third-generation cephalosporin may be the best options for treatment if an antibiotic is needed. SOURCE: US Department of Human Health and Services Centers for Disease Control and Prevention Visit the Babies Travel Lite Travel Guide for more helpful travel tips and other useful travel information.
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