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Updated: Jul 27, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
[Dientamoeba fragilis: possibly an important cause of persistent abdominal pain in children]
D K Bosman1, M A Benninga, P van de Berg
1Academisch Medisch Centrum/Universiteit van Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam.
Insights
Antiprotozoic treatment effectively cleared Dientamoeba fragilis infections in children, significantly reducing persistent gastrointestinal complaints. This study highlights successful treatment outcomes for this common pediatric infection.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Persistent gastrointestinal complaints in children can be linked to parasitic infections.
- Dientamoeba fragilis is an increasingly recognized protozoan pathogen in pediatric populations.
Observation:
- This retrospective study analyzed 43 children with Dientamoeba fragilis infection and persistent abdominal pain.
- Treatment involved either clioquinol (27 children) or a nitroimidazole drug (16 children).
Findings:
- Parasitological cure was achieved in 77% of treated children (33/43).
- Clinical improvement, including reduced or resolved gastrointestinal symptoms, was observed in 82% of children who cleared the infection.
- Symptomatic improvement also occurred in 20% of children where the infection persisted.
Implications:
- Antiprotozoic therapy is effective in managing Dientamoeba fragilis infections in children.
- Successful treatment correlates with significant alleviation of chronic gastrointestinal symptoms.
- Further research into optimal treatment strategies for pediatric Dientamoeba fragilis infections is warranted.
Objective:
To determine the effect of an antiprotozoic treatment on children with persistent abdominal pain and infection with Dientamoeba fragilis.
Design:
Retrospective.
Method:
A total of 43 children with D. fragilis infection and persistent gastrointestinal complaints were included in the study. Of these 27 were treated with clioquinol and 16 with a nitroimidazole drug: metronidazole or tinidazole. The parasitological and clinical effects of the treatment were assessed.
Results:
In 33 of the 43 (77%) children, no parasites were detected during follow-up with a triple faeces test: 22/27 following treatment with clioquinol and 11/16 following treatment with a nitroimidazole drug. In 27 of the 33 (82%) children with a negative follow-up result, gastrointestinal complaints were considerably less or had completely disappeared. In 2 of the 10 (20%) children in which D. fragilis had not disappeared in the follow-up period, the complaints were less or had disappeared.
Conclusion:
Effective treatment of D. fragilis infection in children with longstanding gastrointestinal complaints often resulted in a reduction or disappearance of the complaints.
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