Cryptosporidium Species and Subtypes and Clinical Manifestations in Children, Peru
2008

Cryptosporidium Species and Subtypes in Children in Peru

Sample size: 533 publication 10 minutes Evidence: moderate

Author Information

Author(s): Cama Vitaliano A., Bern Caryn, Roberts Jacqueline, Cabrera Lilia, Sterling Charles R., Ortega Ynes, Gilman Robert H., Xiao Lihua

Primary Institution: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Hypothesis

Are clinical manifestations associated with genotypes or subtypes of Cryptosporidium spp.?

Conclusion

Different genotypes and subtypes of Cryptosporidium spp. are linked to different clinical manifestations in children.

Supporting Evidence

  • C. hominis was associated with diarrhea, nausea, vomiting, and general malaise.
  • C. parvum, C. meleagridis, C. canis, and C. felis were associated with diarrhea only.
  • Children infected with C. hominis subtype family Ib had more severe symptoms than those infected with other subtypes.

Takeaway

This study found that different types of Cryptosporidium can make kids sick in different ways, with some causing more symptoms than others.

Methodology

A longitudinal birth cohort study was conducted over 4 years, analyzing stool samples and clinical data from children in Lima, Peru.

Potential Biases

Potential biases may arise from the reliance on caregiver reports for clinical manifestations.

Limitations

The study lacked data on other gastrointestinal pathogens and had small sample sizes for some analyses.

Participant Demographics

Children under 2 years of age from a community in Lima, Peru.

Statistical Information

P-Value

0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3201/eid1410.071273

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