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Published on: February 17, 2023
[Clinical features of giardiasis in different age groups of pediatric in-patients]
Pedro Almirall1, Maydel Alfonso, Ivonne Ávila
1Centro Municipal de Higiene, Epidemiología y Microbiología, La Habana, Cuba.
Insights
Clinical features of giardiasis vary by age in children. Younger children (<5 years) more frequently experience diarrhea, while older children (≥5 years) present with abdominal pain and urticaria. Early recognition aids diagnosis and treatment.
Area of Science:
- Pediatric Infectious Diseases
- Gastroenterology
- Parasitology
Background:
- Giardiasis (caused by Giardia lamblia) is a common parasitic infection.
- Clinical manifestations of giardiasis may differ across pediatric age groups.
Purpose of the Study:
- To compare the clinical presentation of giardiasis in children under 5 years old versus those 5 years and older.
- To analyze the length of hospital stay in relation to age.
Main Methods:
- Retrospective study of 170 pediatric patients hospitalized with giardiasis in 2007.
- Comparison of clinical features between two age groups: <5 years and ≥5 years.
- Analysis of hospital length of stay.
Main Results:
- Children ≥5 years had significantly higher rates of abdominal pain (OR=9.46) and urticaria (OR=11.0).
- Children <5 years showed a higher frequency of diarrhea (OR=6.45).
- Younger children (<5 years) had a significantly longer hospital stay.
Conclusions:
- Pediatric giardiasis presents with distinct clinical features based on age.
- Recognizing age-specific symptoms is crucial for timely diagnosis and effective treatment of giardiasis.
Introduction:
It has been suggested that the clinical features of giardiasis might vary in patients of different age groups.
Objective:
To compare clinical presentation of giardiasis in children less than 5 years of age and older children.
Methods:
A retrospective study of patients hospitalized with giardiasis during 2007 was performed. The clinical features of the two age groups were compared. Additionally, length of stay was analyzed.
Results:
In total, 170 patients were included. In children ≥ 5 years of age, abdominal pain and urticaria were significantly more frequent (OR=9.46; 95%CI: 4.35-20.52,P5=0.000+ and OR=11.0; 95%CI: 1.205-101.11, P=0.023, respectively). Diarrhoea was more frequently found in children younger than 5 years (OR=6.45; IC 95%: 3. 12-13.37, P=0.000+). The frequencies of other symptoms were similar. Length of stay was significantly higher in children under 5 years of age.
Discussion And Conclusions:
Clinical presentations differed in some aspects among the examined age group of our paediatric patients. Our finding might be of importance for an early recognition of giardiasis, which is essential for an accurate diagnosis and a prompt treatment.
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