Сlinical and epidemiological aspects of lamblioisis in children of school age

• Arakelyan R.S.
• Elena I. Okunskaya
• Sergeeva N.A.
• Konnova O.V.
• Khalil M. Galimzyanov
• Sangadzieva V.Sh.
• Obukhova A.A.

Abstract

The aim of the study is to analyze the clinical and epidemiological situation of giardiasis in school-age children in Astrakhan.

Material and methods. In 2016 117 case histories of children diagnosed with lambliasis aged 9 months to 17 years were analyzed.

Results. The share of school-age children accounted for 63.2±4.5% (74 children). Most of the children lived in urban areas - 87.8±3.8%. The diagnosis is made on the basis of visits to the parasitologist and/or infectious disease doctor - 78.4±4.8%.

Clinical symptoms were detected in 82.4±4.4% of cases. Complaints of cramping pain in the epigastric region - in 64,9±5,5%, liquid stool - in 25.7±5.1%, nausea and loss of appetite - 24.3±5.0% respectively. Vomiting was rare - 4.1±2.3%. Allergic reaction in the form of urticaria was detected in 24.3±5.0%, sleep disturbance - 24.3±5.0%. With a purposeful collection of epidemiological history, it was found that half of the children did not observe the rules of personal hygiene (51.4±5.8%).

Etiotropic treatment of giardiasis was carried out with drugs makmiror and albendazole. McMiore received more than half of the children observed - 74.3±5.1%, albendazole - 25.7±5.1%. Macmirror was administered to children at a rate of 15 to 30 mg/kg body weight in 2 to 3 doses for 7 days. Albendazole received children 12 mg/kg body weight 1 times a day after meals (the maximum daily dose was 400 mg) also for 7 days.

Conclusions. The most common lambliasis was recorded in the age group from 7 to 14 years. The cause of the disease was the presence of bad habits: geophagia, onophagia and non-observance of personal hygiene rules, as well as frequent contact with cats. The disease proceeded with complaints of pain in the epigastric region, a decrease in appetite, nausea, loose stools, allergic skin rashes and sleep disturbance, as well as reactive changes in the pancreas and liver according to ultrasound. The presence of cysts of lamblia in feces after a course of chemotherapy indicates parasitism.

Keywords:lambliasis, geophagia, onyphagia, albendazole, makmiror, coproovascular study, reactive changes in the liver and pancreas

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