Vicente Bruno, Freitas Anna De, Freitas Marcus, Midlej Victor
Laboratório de Biologia Estrutural, Instituto Oswaldo Cruz-Fiocruz, Rio de Janeiro 21040-900, Brazil.
Programa de Pós-Graduação em Biologia Celular e Molecular, Instituto Oswaldo Cruz-Fiocruz, Rio de Janeiro 21040-900, Brazil.
Diagnostics (Basel). 2024 Feb 7;14(4):364. doi: 10.3390/diagnostics14040364.
Giardiasis, caused by the protozoan , affects around 400 million people worldwide, emphasizing the critical need for accurate diagnosis to enhance human health, especially in children. Prolonged giardiasis in childhood can lead to intellectual deficits and other complications. A variety of diagnostic tools, including microscopic, immunological, and molecular methods, are available for detecting infection. Choosing the most suitable method can be challenging due to the abundance of options. This systematic review assesses the reliability and applicability of these diagnostic modalities. Utilizing the Dimensions and Wordart platforms for data analysis, we focus on relevant literature addressing diagnostic methods for human giardiasis. Microscopic techniques, particularly Ritchie's method, emerge as the primary choice, followed by enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR). PCR's limited use is attributed to its high cost and infrastructure challenges in developing nations. In conclusion, our analysis supports microscopic methods as the gold standard for giardiasis diagnosis. However, in cases where symptoms persist despite a negative diagnosis, employing more sensitive diagnostic approaches is advisable.
贾第虫病由原生动物引起,全球约有4亿人受其影响,这凸显了准确诊断对增进人类健康的迫切需求,尤其是对儿童而言。儿童期贾第虫病长期不愈会导致智力缺陷和其他并发症。有多种诊断工具可用于检测感染,包括显微镜检查、免疫学和分子方法。由于选择众多,选择最合适的方法可能具有挑战性。本系统评价评估了这些诊断方式的可靠性和适用性。利用Dimensions和Wordart平台进行数据分析,我们关注有关人类贾第虫病诊断方法的相关文献。显微镜技术,尤其是里奇氏法,成为首选,其次是酶联免疫吸附测定(ELISA)和聚合酶链反应(PCR)。PCR使用受限归因于其成本高昂以及在发展中国家面临的基础设施挑战。总之,我们的分析支持显微镜检查方法作为贾第虫病诊断的金标准。然而,在诊断为阴性但症状持续的情况下,建议采用更敏感的诊断方法。