Multilocus Genotyping of Human Giardia Isolates Suggests Limited Zoonotic Transmission and Association between Assemblage B and Flatulence in Children
2011

Giardiasis and Its Links to Flatulence in Children

Sample size: 207 publication 10 minutes Evidence: moderate

Author Information

Author(s): Marianne Lebbad, Ingvor Petersson, Lillemor Karlsson, Silvia Botero-Kleiven, Jan O. Andersson, Bo Svenungsson, Staffan G. Svärd

Primary Institution: Swedish Institute for Communicable Disease Control

Hypothesis

What is the relationship between different Giardia assemblages and clinical symptoms in children?

Conclusion

Certain assemblage A subtypes are potentially zoonotic, and flatulence is associated with assemblage B infections in young children.

Supporting Evidence

  • 73 patients were infected with assemblage A, 128 with assemblage B, and six with mixed assemblages A+B.
  • Flatulence was significantly more common in children less than six years of age infected with assemblage B.
  • Evidence of limited zoonotic transmission of Giardia was found in a few domestic human infections.

Takeaway

This study looked at a germ called Giardia that can make people sick. It found that some types of this germ can come from animals and that kids with one type of it often have tummy troubles like gas.

Methodology

Multilocus sequence-based genotyping of 207 human Giardia isolates using three gene loci: ß-giardin, glutamate dehydrogenase (gdh), and triose phosphate isomerase (tpi).

Potential Biases

Potential bias due to reliance on self-reported symptoms and travel history.

Limitations

The study's resolution for assemblage A was limited, as only a few MLGs were identified.

Participant Demographics

Ages ranged from 0 to 76 years, with 109 females and 105 males.

Statistical Information

P-Value

0.0022

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pntd.0001262

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