Escobedo A A, Almirall P, Alfonso M, Salazar Y, Avila I, Cimerman S, Núñez F A, Dawkins I V
Academic Paediatric Hospital Pedro Borrás, Calle F No. 616, Vedado, Ciudad de La Habana, Cuba.
Ann Trop Med Parasitol. 2011 Jan;105(1):47-56. doi: 10.1179/136485911X12899838413420.
The medical records of the 185 children who, in 2007, were admitted to the Academic Paediatric Hospital 'Centro Habana', in the Cuban capital of Havana, because of giardiasis were analysed retrospectively. A standardized form was used to collect data on the socio-demographic characteristics, clinical features, laboratory diagnosis, treatment and length of stay of each child. Information on the 15 children who had incomplete medical records was excluded from the data analysis. Of the remaining 170 children, 85 (50·0%) were aged 1-4 years, 97 (57·1%) were male, and 106 (62·4%), 92 (54·1%) and 69 (40·6%) had presented with diarrhoea, vomiting, and/or abdominal pain, respectively. Most (91·2%) of the cases had been diagnosed by the microscopical examination of a duodenal aspirate, and the drugs that had been most used frequently were quinacrine and tinidazole, which had been given to 72 (42·4%) and 62 (36·5%) of the cases, respectively. The mean length of hospital stay was 4·9 days. Such information on the clinical characteristics of giardiasis among children living in an endemic area may be valuable to paediatricians and public-health officials who wish to screen for the disease.
对2007年因贾第虫病入住古巴首都哈瓦那“哈瓦那中心”学术儿童医院的185名儿童的病历进行了回顾性分析。使用标准化表格收集每名儿童的社会人口学特征、临床特征、实验室诊断、治疗及住院时间等数据。数据分析排除了15名病历不完整儿童的信息。在其余170名儿童中,85名(50.0%)年龄为1 - 4岁,97名(57.1%)为男性,分别有106名(62.4%)、92名(54.1%)和69名(40.6%)出现腹泻、呕吐和/或腹痛症状。大多数(91.2%)病例通过十二指肠抽吸物显微镜检查确诊,最常用的药物是奎纳克林和替硝唑,分别有72例(42.4%)和62例(36.5%)使用过。平均住院时间为4.9天。这些关于流行地区儿童贾第虫病临床特征的信息,对于希望筛查该病的儿科医生和公共卫生官员可能很有价值。