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Published on: February 9, 2024
[Giardia duodenalis infections in pediatrics: our series]
S Scotti1, M Pettoello Mantoani, G Polito
1Dipartimento di Pediatria, Universita di Napoli Federico II, Naples.
Insights
Giardiasis, a parasitic intestinal infection, affects 4.7% of pediatric patients in Naples, Italy. This common gastrointestinal disturbance in children can lead to malnutrition and other health issues.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Parasitology
Context:
- Gastrointestinal disturbances are common in pediatric populations.
- Giardiasis is a significant global health concern, particularly in children.
- Understanding the prevalence and risk factors of Giardiasis in temperate regions is crucial for public health.
Purpose:
- To determine the prevalence of Giardia duodenalis infection in pediatric patients with gastrointestinal symptoms in Naples, Italy.
- To investigate the correlation between Giardia duodenalis infection and various factors such as lifestyle, social environment, season, and geographic area.
- To identify the most common symptoms associated with Giardiasis in this pediatric cohort.
Summary:
- A study evaluated 5000 pediatric patients for Giardia duodenalis, finding a prevalence of 4.7%.
- Microscopic examination of stool specimens using the Stoll method identified Giardia duodenalis.
- The infection was associated with gastrointestinal symptoms, particularly diarrhea, and co-infections with E. vermicularis and T. thichiuria were noted.
Impact:
- Giardiasis is a frequent gastrointestinal infection in children, even in temperate climates.
- The infection can be asymptomatic but may lead to malabsorption, malnutrition, and urticaria.
- Findings highlight the importance of diagnosing and managing Giardiasis in pediatric populations to prevent long-term health consequences.
Abstract:
5000 pediatric patients presenting gastrointestinal disturbance (diarrhoea, vomiting, abdominal pain or stypsis) coming from different urban and rural area of Naples (Italy) were evaluated for possible intestinal Giardiasis at the Department of Pediatrician, University of Naples, Italy. The mean age of the patients was 6.4 years and range 0.5-15 years. Giardia duodenalis was searched in 3 different specimens of stools collected every other day, by a microscopic examination by Stoll method. The presence of Giardia duodenalis was correlated with different parameters: life-style, social environment, social level, season, geographic area and subjective symptoms. Statistical differences in the different groups of patients were evaluated by the chi square test. Giardia duodenalis was found in 237/5000 patients (4.7%) of the patients. In nine of them the protozoa was associated with E. vermicularis and in 8 with T. thichiuria e the highest monthly prevalence was observed in November an December. The most frequent symptom was diarrhoea (61.1%). According to these data the Authors can conclude that Giardiasis is a frequent gastrointestinal infection even in children living in temperate areas. This infection is frequently asymptomatic, but can lead to malabsorption and/or to malnutrition, and can be cause of orticaria.
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