Status of Giardia Infection with Other Intestinal Parasites among Paediatric Patients in Tertiary Medical College Hospitals

Nusrat Jahan Nipa, Abu Hena Md Saiful Karim Chowdhury
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Abstract

Background: Paediatric diarrhoea, the burning issue of nowadays, drastically affects the child mortality and morbidity. Apart from virus and bacteria, parasites also play an important role in causing diarrhoea at that age group. Giardiasis, the most prevalent among the parasitic infections, though neglected yet carries significance because of its long term health issues. The aim of the study was to identify the intestinal parasites by wet mount preparation and further detection of the flagellated protozoan parasite, Giardia by special staining - Trichrome staining technique. Materials and methods: It was an observational cross sectional study which was carried between the periods of July 2019 to June 2020, where a total of 200 diarrhoeic patients up to 18 years were enrolled. Direct microscopic method was done where parasites were detected by wet mount preparation and further Trichrome stainning was performed for the detection of Giardia. Results: Out of 200 faecal samples, cysts of Giardia, ova of Ascaris Lumbricoides (AL) Trichuris Trichiura (TT) and both AL and TT were identified in 2.5%, 1.5%, 0.5% and 1.0% samples respectively by wet mount preparation. By Trichrome staining method we detected 3.5% of Giardia cysts. Conclusion: Staining technique could be applied in addition to wet mount preparation of stool samples. So that we could recover the undetected Giardia cyst in the aforesaid samples. JCMCTA 2021 ; 32 (2) : 111-114
三级医学院附属医院儿科患者贾第虫与其他肠道寄生虫感染状况分析
背景:儿科腹泻是当今的热点问题,严重影响儿童死亡率和发病率。除了病毒和细菌外,寄生虫在引起该年龄组的腹泻方面也起着重要作用。贾第虫病是寄生虫感染中最普遍的一种,虽然被忽视,但由于其长期的健康问题而具有重要意义。本研究的目的是用湿载法鉴定肠道寄生虫,并用特殊染色-三色染色技术进一步检测鞭毛原生动物贾第虫寄生虫。材料和方法:这是一项观察性横断面研究,于2019年7月至2020年6月期间进行,共有200名18岁以下的腹泻患者入组。采用直接显微镜法,湿载法检测寄生虫,三色染色法检测贾第鞭毛虫。结果:200份粪便标本中,湿载法检出贾第鞭毛虫囊、类蚓蛔虫(AL)虫卵、类蚓蛔虫(TT)虫卵,检出率分别为2.5%、1.5%、0.5%和1.0%。三色染色法检出3.5%的贾第鞭毛虫囊。结论:染色法可用于湿式粪便标本制备。这样我们就可以在上述样品中恢复未被检测到的贾第鞭毛虫囊肿。Jcmcta 2021;32 (2): 111-114
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