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[Infantile giardiasis. Study of 111 cases].

J M Cerezo Pancorbo, M T García Muñoz, A Franganillo Fernández

    Anales Espanoles De Pediatria
    |December 1, 1986
    PubMed
    Summary

    Giardiasis in children is common, with diagnosis improving with multiple stool samples. Metronidazole is effective but reinfection rates are high, indicating a need for further prevention strategies.

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    [Value of echography in the early detection of osteomyelitis in childhood. Apropos of a case].

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    Area of Science:

    • Pediatric Infectious Diseases
    • Parasitology
    • Gastroenterology

    Context:

    • Intestinal giardiasis is a significant parasitic infection affecting children globally.
    • Diagnosis often relies on stool examination, with varying detection rates based on sample number.
    • Understanding transmission dynamics and treatment efficacy is crucial for public health.

    Purpose:

    • To investigate the clinical and epidemiological characteristics of intestinal giardiasis in children.
    • To evaluate the diagnostic accuracy of stool examination for Giardia lamblia.
    • To assess the efficacy of metronidazole treatment and identify factors contributing to reinfection.

    Summary:

    • A study of 111 children with intestinal giardiasis analyzed age, sex, residence, seasonality, symptoms, and treatment outcomes.

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  • Stool examination detected Giardia in 56.2% of single samples and 70.7% of multiple samples.
  • Metronidazole showed 93.3% initial efficacy, but 28.3% of children experienced reinfection. Close relatives also showed a 21.4% infection rate.

    • Impact:

    • Highlights the importance of multiple stool samples for accurate giardiasis diagnosis in pediatric populations.
    • Reveals high reinfection rates post-metronidazole treatment, suggesting potential environmental or familial transmission.
    • Informs public health strategies for giardiasis control, emphasizing family screening and potentially improved sanitation measures.