A Comparative Study between Malnourished and Well-nourished Diarrheal Children Suspected with Giardiasis

Authors

  • Athraa Abdalhadi Ali College of Medicine, University of Babylon/Iraq Author
  • Hadi Fadhil Alyasari College of Medicine, University of Babylon/Iraq Author
  • Muder Hassan Noor College of Medicine, University of Babylon/Iraq Author

DOI:

https://doi.org/10.61841/20f0wt94

Keywords:

Giardiasis, Malnourishment, Well-nourishment, Diarrhea, Co-infection, Solely Infection, Demographically, Clinically

Abstract

The present study was carried out during the period of January to June 2018 in Al-Hilla Province. The study included 100 samples, which were collected from diarrheal pediatric patients at ages ranging between 1 and 6 years old; 50 samples were taken from malnourished children (30 male, 20 female), and 50 samples were taken from well-nourished diarrheal children. The study patients were being submitted to the Maternity and Children and Al Nour Hospitals in Al-Hilla City. Study: Pediatric children and their samples were examined clinically and microscopically , clinically by the aid of the specialist physician and patients guided with the hospital record , and microscopically in the parasite laboratory of the hospitals.

The present study revealed that the males were infected more than females with giardiasis (58.3% and 41.6%), respectively. Giardiasis occurred in a high percentage in the age group ranging from 5 to 6 years old (50%). It was more common in the rural areas than in the urban areas, which were 66.6% and 33.3%, respectively. The study obtained results that revealed that the type of diarrheal symptoms among Giardiasis-infected children varied from watery 7(58.3), fatty 2(16.6), bloody 1(8.3), mucus 1(8.3), and mixed 1(8.3), respectively.

Furthermore, there were different percentages of Giardia infection among study pediatric individuals according to their feeding patterns. The breastfeeding rate for children under two years old was 33.3%, followed by artificial feeding (33.3%) and mixed feeding (16.6%), respectively. Whereas, in a multinutrition pattern, children (2-6 years old) were 16.6%.

In addition, there were different percentages of Giardiasis co-infection: 8 cases (66.7%), whereas the solely infection of Giardia was 4 cases (33.3%). 

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References

[1] Flanagan PA. Giardia - diagnosis, clinical course, and epidemiology. A review. Epidemiol Infect. 1992;

109: 1–22.

[2] Bertrand I, Gantzer C, Chesnot T, Schwartzbrod J. Improved specificity for Giardia lamblia cyst

quantification in wastewater by development of a real-time PCR method. J Microbiol Met 2004. pp. 41–53.

[3] Yoder J, Beach M. Giardiasis Surveillance - United States, 2003-2005. Surveill Summ. 2007; 56 (SS07):

11–18.

[4] Oberhuber G, Kastner N, Stolte M. Giardiasis: A histologic analysis of 567 cases. Scand J Gastroenterol.

1997; 32(1): 48–51.

[5] Adam RD. Biology of Giardia lamblia. Clin Microbiol Rev. 2001; 14(3):447–475.

[6] Noor AMY, San YM, Gan CC, Yusri MY, Nurulsyamzawaty Y, Zuhaizam AH, Maslawaty MN,

Norpartina I, Vythilingam I. Prevalence of intestinal protozoa in an aborigine community in Pahang,

Malaysia. Trop Biomed 2007. pp. 55–62.

[7] Thompson RC. The zoonotic significance and molecular epidemiology of Giardia and giardiasis. Vet

Parasitol. 2004; 126:15–35.

[8] Doğruman A, Kustimur S, Özekinci T, Balaban N, Ilhan M. The use of Enzyme Linked Immunosorbent

Assay (ELISA) and Direct Fluorescent Antibody (DFA) Methods for Diagnosis of Giardia intestinalis.

Türkiye Parazitoloji Derneği. 2006; 30(4): 275–278.

[9] Teixeira J, Heller L, Barreto M. Giardia duodenalis infection: risk factors for children living in substandard settlements in Brazil. Cad Saúde Pública. 2007; 23(6):1489–1493.

[10] Vernile A, Nabi AQ, Bonadonna L, Briancesco Massa S. Occurrence of Giardia and Cryptosporidium in

Italian water supplies. Environ Monit Assess. 2009; 152:203–207.

[11] Cacciò SM, Thompson RC, McLauchlin J, Smith HV. Unravelling Cryptosporidium and Giardia

epidemiology. Trends Parasitol. 2005; 21(9):430–437.

[12] Yakoob J, Jafri W, Abib S, Jafri N, Hamid S, Shah HA, Rizvi L, Islam M, Shaikh H. Giardiasis in patients

with dyspeptic symptoms. World J Gastroenterol. 2005; 11(2):6667–6670.

[13] Al-Saeed AT, Issa SH. Detection of Giardia lamblia antigen in stool specimens using enzyme-linked

immunosorbent assay. East Mediterr Health J. 2010; 16(4):362–364.

[14] Savioli L, Smith H, Thompson A. Giardia and Cryptosporidium join the "Neglected Diseases Initiative."

Trends Parasitol. 2006; 22(5):203–208.

[15] ACC/SCN (2000). Fourth report on the world nutrition situation. Geneva, United Nations Administrative

Committee on Coordination/Subcommittee on Nutrition.

[16] Bakketeig LS, Butte N, de Onis M, Kramer M, O'Donnell A, Prada JA, Hoffman HJ (1998). Report of the

IDECG Working Group on definitions, classifications, causes, mechanisms, and prevention of IUGR.

European Journal of Clinical Nutrition, 52(Suppl. 1):S94−S96.

[17] de Onis M, Blössner M (2003). The World Health Organization Global Database on Child Growth and

Malnutrition: methodology and applications. International Journal of Epidemiology, 32:518−526.

[18] de Onis M, Garza B, Habicht J-P (1997). Time for a new growth reference. Pediatrics, 100(5):E8.

[19] Mahadeva S, Goh KL (2006). Epidemiology of functional dyspepsia: a global perspective. World J

Gastroenterol, 12(17): 2661-66. www.who.int.

[20] Walsh, J. A. 1986. Problems in recognition and diagnosis of amebiasis: estimation of the global magnitude

of morbidity and mortality. Rev. Infect. Dis. 8:228-238.

[21] Gillon, J. Giardiasis: review of epidemiology, pathogenic mechanisms, and host responses. Quart J Med 1984; 209, 29-39.

[22] Naik, S.R., Rau, N.R., Vinayak, V.K., Narayanan, VA., Zunzurwade, S., Sehgal, S.c., and Talwar, P. Presence of Candida albicans in normal and Giardia lamblia-infected human jejunum. Ann Trop Med Parasitol 1978;72,491-2.

[23] Tandon, B.N.R., Tandon, R., Satpathy, B., and Shriniwas, S. Mechanism of malabsorption in giardiasis: a study of bacterial flora and bile salt deconjugation in upper jejunum. Gut, 1977; 18, 176-81.

[24] Nash, T.E., Herrington, D.A., Losonsky, G.A., and Levine, M.M. Experimental human infection with Giardia lamblia. J Infect Dis 1987; 156, 974-84.

[25] Ament, M.E., Ochs, H.D., and Davis, S.D. Structure and function of the gastrointestinal tract in primary immunodeficiency syndromes: a study of 39 patients. Medicine 1973; 52, 227--48.

[26] Moreira ED, Nassri VB, Santos RS, Matos JF, Carvalho WA, Silvani CS, Sant Ána CS. Association of Helicobacter pylori infection and giardiasis: Results from a study of surrogate markers for fecal exposure among children. World J Gastroenterol. 2005; 11(18):2759–2763.

[27] Doglioni C, De Boni M, Cielo R, Laurino L, Pelosio P, Braidotti P, Viale G. Gastric giardiasis. Clin Pathol. 1992; 45(11):964–967.

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Published

31.07.2020

How to Cite

Abdalhadi Ali, A., Fadhil Alyasari, H., & Hassan Noor, M. (2020). A Comparative Study between Malnourished and Well-nourished Diarrheal Children Suspected with Giardiasis. International Journal of Psychosocial Rehabilitation, 24(5), 1797-1805. https://doi.org/10.61841/20f0wt94