European Journal of Pediatrics

, Volume 146, Issue 4, pp 401–403

Giardiasis in childhood: an unnecessarily expensive diagnosis

  • H. S. A. Heymans
  • D. C. Aronson
  • M. A. J. van Hooft
Original Investigations

DOI: 10.1007/BF00444948

Cite this article as:
Heymans, H.S.A., Aronson, D.C. & van Hooft, M.A.J. Eur J Pediatr (1987) 146: 401. doi:10.1007/BF00444948

Abstract

In 70 patients with proven giardiasis the efficacy and cost-effectiveness of the diagnostic procedure were studied retrospectively. In 53% of the patients, complaints existed for more than 6 months. Parasitological examination of three stool specimens on non-consecutive days showed a sensitivity of 95.7%. The false negative rate was 2.8%, as giardiasis was found in 3 out of 109 patients in whom duodenal biopsy was performed after a negative “triple faecal test”. Of other laboratory investigations performed before the results of faecal screening were known, 75% gave normal results, thus not contributing to the diagnosis. A proposal for a cost-effective diagnostic procedure is presented.

Key words

GiardiasisChildren

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • H. S. A. Heymans
    • 1
  • D. C. Aronson
    • 1
  • M. A. J. van Hooft
    • 1
  1. 1.Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands