Scotti S, Pettoello Mantoani M, Polito G, Carlomagno F, Coppola A, di Martino L
Dipartimento di Pediatria, Universita di Napoli Federico II, Naples.
Infez Med. 1996;4(1):35-40.
5000 pediatric patients presenting gastrointestinal disturbance (diarrhoea, vomiting, abdominal pain or stypsis) coming from different urban and rural area of Naples (Italy) were evaluated for possible intestinal Giardiasis at the Department of Pediatrician, University of Naples, Italy. The mean age of the patients was 6.4 years and range 0.5-15 years. Giardia duodenalis was searched in 3 different specimens of stools collected every other day, by a microscopic examination by Stoll method. The presence of Giardia duodenalis was correlated with different parameters: life-style, social environment, social level, season, geographic area and subjective symptoms. Statistical differences in the different groups of patients were evaluated by the chi square test. Giardia duodenalis was found in 237/5000 patients (4.7%) of the patients. In nine of them the protozoa was associated with E. vermicularis and in 8 with T. thichiuria e the highest monthly prevalence was observed in November an December. The most frequent symptom was diarrhoea (61.1%). According to these data the Authors can conclude that Giardiasis is a frequent gastrointestinal infection even in children living in temperate areas. This infection is frequently asymptomatic, but can lead to malabsorption and/or to malnutrition, and can be cause of orticaria.
对来自意大利那不勒斯不同城乡地区的5000名出现胃肠道紊乱（腹泻、呕吐、腹痛或便秘）的儿科患者，在意大利那不勒斯大学儿科进行了肠道贾第虫病可能性评估。患者的平均年龄为6.4岁，年龄范围在0.5至15岁之间。通过采用Stoll方法进行显微镜检查，在每隔一天采集的3份不同粪便标本中查找十二指肠贾第虫。十二指肠贾第虫的存在与不同参数相关：生活方式、社会环境、社会阶层、季节、地理区域和主观症状。通过卡方检验评估不同患者组之间的统计学差异。在5000名患者中有237名（4.7%）发现了十二指肠贾第虫。其中9名患者的原生动物与蠕形住肠线虫有关，8名与鞭虫有关，11月和12月的月患病率最高。最常见的症状是腹泻（61.1%）。根据这些数据，作者可以得出结论，即使在温带地区生活的儿童中，贾第虫病也是一种常见的胃肠道感染。这种感染通常无症状，但可导致吸收不良和/或营养不良，并且可能是荨麻疹的病因。
