Beruflich Dokumente
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College of Nursing
Giardiasis
Definition, Illustrations, Causative Agent, Signs and Symptoms, Preventive
Measures, Management and Treatment and Nursing Reponsibilities
I. Brief Definition
An infection of the small bowel, giardiasis (also called enteritis and lambliasis) is
caused by the symmetrical flagellate protozoan Giardia lamblia. A mild infection may not
produce intestinal symptoms. In untreated giardiasis, symptoms wax and wane; with
treatment, recovery is complete (McMahon &Cray, 1995). Giardia infects the small
intestine of humans, especially children (Black, 2008) and is the most commonly
identified waterborne illness in the United States (Nester et al., 2007). The disease is
sometimes mistaken for viral gastroenteritis and is considered a type of traveler’s
diarrhea (Pommerville, 2013).
II. Illustrations
Figure 1 Giardia lamblia, light micrograph Figure 2 Giardia lamblia, Scanning Electron Micrograph (SEM)
From: Infectious Disorders (Professional Care Guides) (1st ed.); Fundamentals of Microbiology (10th
ed.)
V. Preventive Measures
From: Microbiology: Dynamics and Diversity (1st ed.); Infectious Disorders (Professional Care
Guides) (1st ed.); Microbiology: A Human Perspective (5th ed.)
Inform the patient receiving metronidazole of the expected adverse effect of this
drug: commonly headache, anorexia, and nausea, and less commonly vomiting,
diarrhea and abdominal cramps.
Warn against drinking alcoholic beverages because these may provoke a
disulfiram-like reaction.
If the patient is a woman, ask if she’s pregnant, because metronidazole is
contraindicated during pregnancy.
When talking to family members and other suspected contacts, emphasize the
importance of stool examinations for G. lamblia cysts.
Hospitalization may be required. If so, apply enteric precautions. The patient will
require a private room if he is a child or an incontinent adult. When caring for
such a patient, pay strict attention to hand washing, particularly after handling
feces. Quickly dispose of fecal material (Normal sewage systems can remove
and process infected feces adequately.)
Teach good personal hygiene, particularly proper hand washing technique.
To help prevent giardiasis, warn travelers to endemic areas not to drink water or
eat uncooked and unpeeled fruits or vegetables (they may have been rinsed in
contaminated water). Prophylactic drug therapy isn’t recommended. Advise
campers to purify all stream water before drinking it.
Report endemic situations to the public health authorities.
From: Infectious Disorders (Professional Care Guides) (1st ed.)
References:
Black, J. G. (2008). Microbiology: Principles And Explorations, International Student
Version (7th ed.). (J. Wiley, Ed.) Virginia: John Wiley & Sons, Inc. Retrieved May
24, 2019
Gilligan, P. H., Shapiro, D. S., & Miller, M. B. (2015). Cases in Medical Microbiology and
Infectious Disease (4th ed.). Washington, D.C.: American Society for
Microbiology. Retrieved May 24, 2019
McMahon, E., & Cray, J. (1995). Infectious Disorders (Professional Care Guides) (1st
ed.). (E. Weinstein, Ed.) Springhouse Corporation. Retrieved May 24, 2019
Nester, E. W., Anderson, D. G., Roberts, C. E., & Nester, M. T. (2007). Microbiology: A
Human Perspective (5th ed.). McGraw-Hill Publishing Co. Retrieved May 24,
2019
Perry, J. J., & Staley, J. T. (1997). Microbiology: Dynamics and Diversity (1st ed.).
Harcourt College Pub. Retrieved May 24, 2019
Figures/Images Sources:
Figure 1: https://phil.cdc.gov/PHIL_Images/8698/8698_lores.jpg
Figure 2: https://www.sciencephoto.com/media/441437/view/giardia-lamblia-protozoa-micrograph