giardiasis…

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digestive system, giardiasis, institutional hygiene, digestive system organs, giardia, traveler's diarrhea, giardiasis, giardia, infection, the small intestine, a protozoa, giardia lamblia, giardia outbreaks, occur in communities in both developed, developing countries where water supplies, become contaminated, raw sewage, contracted by drinking water from lakes, streams where water-dwelling animals beavers, muskrats, where domestic animals sheep, have caused contamination, spread by direct person-to-person contact, has caused outbreaks in day-care centers, travelers, at risk, giardiasis throughout the world, campers, hikers, at risk, they drink untreated water from streams, lakes, risk factors include unprotected anal sex, exposure to a family member, giardiasis, institutional, day-care, nursing home, exposure, has been an increase in cases, in the last few years, diarrhea, abdominal pain, abdominal fullness, a gaseous, bloated sensation, abdomen swollen, distended, nausea, loss of appetite, vomiting, headache, low grade fever, acute phase lasts 7 to 14 days, stool ova, parasites showing giardia, a positive giardia eia antibody test, a small bowel biopsy showing giardia, a string test showing giardia, rarely performed, tests, smear of duodenal aspirated fluid, small bowel tissue biopsy smear, d-xylose absorption, infections resolve on own, anti-infective agents metronidazole, quinacrine used, furazolidone, treat children, cure rates, generally greater than 80%, drug resistance a factor in treatment failures, requiring a change in antibiotic therapy, in pregnant women, treatment should wait, after delivery, none, the drugs, treat the infection, approved, use in pregnancy, spontaneous resolution is common, persistent infections have been reported, require further antibiotic treatment, had giardia infections, long time, slow to resolve symptoms, infection has gone, dehydration, malabsorption, inadequate absorption of nutrients, intestinal tract, weight loss, diarrhea, symptoms persist beyond 14 days, blood, in the stool, dehydration occur, water purification methods boiling, filtration, iodine treatment, used, surface water is used, hikers, others using surface water should consider all sources, potentially contaminated, workers in day-care centers, institutions should use good handwashing, hygiene techniques, going from child to child, patient to patient, safer sexual practices, regarding anal sex, decrease the risk of contracting, spreading giardiasis.