Awadalla H N, el-Gowhary S H, Sadaka H A, Khalifa A M
Department of Parasitology, Faculty of Medicine, Alexandria University, Egypt.
J Egypt Soc Parasitol. 1995 Apr;25(1):53-61.
Giardia lamblia infection may be asymptomatic or may produce diarrhea with or without malabsorption. Many drugs were used for treatment of giardiasis, but none proved to be ideal since all have potential troublesome side effects as they are absorbed from the intestine. In this study, a locally acting drug aminosidine-sulphate (gabbroral) has been tried in treatment of experimental giardiasis in a rat model under different conditions of gastric acidity which is one of the main local factors affecting the pathogenicity of the organism. The best results were obtained in the group with hyperacidity which was induced by indomethacin (indocid) with significant improvement in the pathological picture and parasitic count. While in experimental animals with normal acidity there was only partial eradication of the parasite. However, in the group with hypoacidity induced by cimetidine (cimetex), the drug showed no beneficial effects since most organisms invaded the deeper layers of the intestine escaping the local action of the drug.
蓝氏贾第鞭毛虫感染可能无症状,也可能导致腹泻,伴或不伴有吸收不良。许多药物曾用于治疗贾第虫病,但均未被证明是理想药物,因为所有药物从肠道吸收后都有潜在的不良副作用。在本研究中,一种局部作用的药物硫酸巴龙霉素(加卜罗)已在大鼠模型中用于治疗实验性贾第虫病,该模型处于不同胃酸度条件下,胃酸度是影响该生物体致病性的主要局部因素之一。在由吲哚美辛(消炎痛)诱导的胃酸过多组中取得了最佳结果,病理图像和寄生虫计数有显著改善。而在胃酸正常的实验动物中,仅部分根除了寄生虫。然而,在由西咪替丁(泰胃美)诱导的胃酸过少组中,该药物未显示出有益效果,因为大多数生物体侵入肠道深层,避开了药物的局部作用。