The DOI matches its Crossref record; 146 of the 146 references it cites were found in a registry or an index.
Treatment of Giardiasis
Open accessAbstract
SUMMARY: Giardia lamblia is both the most common intestinal parasite in the United States and a frequent cause of diarrheal illness throughout the world. In spite of its recognition as an important human pathogen, there have been relatively few agents used in therapy. This paper discusses each class of drugs used in treatment, along with their mechanism of action, in vitro and clinical efficacy, and side effects and contraindications. Recommendations are made for the preferred treatment in different clinical situations. The greatest clinical experience is with the nitroimidazole drugs, i.e., metronidazole, tinidazole, and ornidazole, which are highly effective. A 5- to 7-day course of metronidazole can be expected to cure over 90% of individuals, and a single dose of tinidazole or ornidazole will cure a similar number. Quinacrine, which is no longer produced in the United States, has excellent efficacy but may be poorly tolerated, especially in children. Furazolidone is an effective alternative but must be administered four times a day for 7 to 10 days. Paromomycin may be used during early pregnancy, because it is not systematically absorbed, but it is not always effective. Patients who have resistant infection can usually be cured by a prolonged course of treatment with a combination of a nitroimidazole with quinacrine.
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Nitroimidazole drugs-action and resistance mechanisms I. Mechanism of action
Edwards, D. I. (1993) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/31.1.9 · Cited by 606
The Transfer of Drugs and Other Chemicals Into Human Milk
Committee on Drugs (1994) · Pediatrics · doi:10.1542/peds.93.1.137 · Cited by 426
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The Primary Immunodeficiencies
Rosen, F. S., Cooper, M. D., & Wedgwood, R. J. P. (1995) · New England Journal of Medicine · doi:10.1056/nejm199508173330707 · Cited by 324
Cited by
Ryan, U., & Cacciò, S. M. (2013) · International Journal for Parasitology · doi:10.1016/j.ijpara.2013.06.001 · Cited by 619
Cryptosporidium and Giardia in Africa: current and future challenges
Squire, S. A., & Ryan, U. (2017) · Parasites & Vectors · doi:10.1186/s13071-017-2111-y · Cited by 284
Effect of Mexican medicinal plant used to treat trichomoniasis on Trichomonas vaginalis trophozoites
Calzada, F., Yépez-Mulia, L., & Tapia-Contreras, A. (2007) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2007.06.001 · Cited by 120
Mørch, K., Hanevik, K., Robertson, L. J., Strand, E. A., & Langeland, N. (2008) · Journal of Infection · doi:10.1016/j.jinf.2008.01.013 · Cited by 92
Administration of kefir-fermented milk protects mice against Giardia intestinalis infection
Franco, M. C., Golowczyc, M. A., De Antoni, G. L., Pérez, P. F., Humen, M., & Serradell, M. D. L. A. (2013) · Journal of Medical Microbiology · doi:10.1099/jmm.0.068064-0 · Cited by 65
Metadata
- Authors
- Gardner, T. B., & Hill, D. R.
- Venue
- Clinical Microbiology Reviews
- Publisher
- American Society for Microbiology
- Published
- 2001-01
- Volume
- 14
- Issue
- 1
- Pages
- 114-128
- ISSN
- 0893-8512 (ISSN-L)
- 1098-6618
- OpenAlex
- W2152173141
- Cited by
- 565
- References
- 146
- FWCI
- 9.53
- Type
- journal article
- Language
- en
- Open access
- green
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.