vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v14i1.1268vsp-94Research ArticleНЕПРЕРЫВНОЕ ПРОФЕССИОНАЛЬНОЕ ОБРАЗОВАНИЕPROFESSIONAL DEVELOPMENTСОВРЕМЕННЫЕ АСПЕКТЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯ ЛЯМБЛИОЗАMODERN ASPECTS OF GIARDIASIS DIAGNOSIS AND TREATMENTУсенкоД. В.UsenkoD. V.

доктор медицинских наук, старший научный сотрудник клинического отдела инфекционной патологии ЦНИИ эпидемиологии 

dusenko@rambler.ruКонаныхинаС. Ю.KonanykhinaS. Yu.dusenko@rambler.ruЦНИИ эпидемиологии, Москва, Российская ФедерацияРоссияCentral Research Institute of Epidemiology, Moscow, Russian FederationRussian FederationНИИ вакцин и сывороток им. И.И. Мечникова, Москва, Российская ФедерацияРоссияI.I.Mechnikov Research Institute of Vaccines and Sera, Moscow, Russian FederationRussian Federation201514022015141Вопросы современной педиатрии108113Copyright © Усенко Д.В., Конаныхина С.Ю., 20152015Усенко Д.В., Конаныхина С.Ю.Usenko D.V., Konanykhina S.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/94

Лямблиоз — одна из наиболее распространенных паразитарных инвазий. Паразитируя в кишечнике, лямблии нарушают структуру и функцию тонкой кишки, приводя к рецидивирующим или упорным клиническим проявлениям, как правило, сочетающим болевые, диспепсические и астеноневротические симптомы. Признаки сходны с таковыми при  других вариантах патологии гастродуоденальной зоны, кишечника, желчевыводящих путей, что делает клиническую  диагностику практически невозможной. Рациональное применение комплекса доступных диагностических тестов, а также четкое следование утвержденным рекомендациям по лечению лямблиоза у детей позволяет избежать гипердиагностики заболевания и повысить эффективность терапии.

 

Giardiasis is one of the most common parasitic invasions. Parasitizing the intestine, Giardia disrupt the structure and function of the small intestine, leading to recurrent or persistent clinical manifestations, as a rule, combining pain, dyspeptic and asthenoneurotic symptoms. Signs are similar to those of other variants of the pathology of gastroduodenal zone, intestine, biliary passages that makes clinical diagnosis almost impossible. A rational use of available diagnostic tests, as well as a strict adherence to the approved recommendations for giardiasis treatment in children allows to avoid the disease overdiagnosis and to increase therapy efficiency.

 

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The authors declare that there are no conflicts of interest present.