Lamblia
(Giardia lamblia)
Material: | Pathogen demonstration and antigen detection: 3 walnut sized stool samples of three different days, each 2 – 3 days apart Pathogen demonstration: 2 ml duodenal juice |
Methods: |
Mikroskopie → Hellfeldmikroskopie Ligandenassays → Enzyme Linked Immunosorbent Assay (ELISA) |
Indication | Watery diarrhea, especially in children; recurrent chronic diarrhea, severe epigastric pains, but also in case of recurrent constipation; immune incompetence; if the clinical information “chronic persistent or recurrent diarrhea” is given, testing for antigen demonstration for giardia lamblia is performed. | Mandatory reporting | ja In accordance with §7 IfSG, the laboratory reports antigen demonstration and/or the microscopic demonstration in stool or duodenal juice (direct and/or indirect demonstration) to the relevant health department by stating the patient’s name. |
Please note | Globally spread parasite of the small intestinal tract. Transmission via contaminated water. Watery diarrhea, sometimes with concomitant vomiting and belly aches, may occur acutely or gradually. The disease has a tendency to chronicity. Bile ducts may also be affected. However, most infections are asymptomatic. The method of choice is the pathogen demonstration in stool. Excretion of the cysts is not continuous though, hence, cysts are occasionally not detected. Accordingly, repeated submissions of samples are recommended. In case of positive demonstration, treatment is always recommended to avoid further transmission. Further information can be found at: www.rki.de |
Accredited | ja |
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