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

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

Giardiasis Children 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Burke JA (1975) Giardiasis in childhoo. Am J Dis Child 129:1034Google Scholar
  2. 2.
    Crossley JR Elliot RB (1977) Simple method for diagnosing protein-losing enteropathies. Br Med J 1:428Google Scholar
  3. 3.
    Kamath KR, Marugasu R (1974) A comparative study of four methods for detecting Giardia lamblia in children with diarrheal disease and malabsorption. Gastroenterology 66:16Google Scholar
  4. 4.
    Meuwissen JHETh, van Tongeren JHM, Werkman HPT (1977) Giardiasis. Lancet II:32Google Scholar
  5. 5.
    Meyer EA, Jarroll EL (1980) Giardiasis. Am J Epidemiol 111:1Google Scholar
  6. 6.
    Ridley DS, Hawgood BC (1965) The value of formol-ether concentration of fecal cysts and ova. J Clin Pathol 9:74Google Scholar
  7. 7.
    Sherman P, Liebman WM (1980) Apparent protein-losing enteropathy associated with Giardiasis. Am J Dis Child 134:893Google Scholar
  8. 8.
    Turner JA (1985) Giardiasis and infection with Dientamoeba fragilis. Pediatr Clin North Am 32:865Google Scholar
  9. 9.
    Wolfe MS (1979) Giardiasis. Pediatr Clin North Am 26:295Google Scholar

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

Personalised recommendations