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. 1972 May 20;2(5811):449–451. doi: 10.1136/bmj.2.5811.449

Outbreak of Giardiasis: Effect of a New Antiflagellate Drug, Tinidazole

T Andersson, J Forssell, G Sterner
PMCID: PMC1788061  PMID: 5031661

Abstract

We describe here an intensive outbreak of mostly symptomatic (90%) Giardia lamblia infestation in a Swedish student group visiting the U.S.S.R. A new antiflagellate drug, ethyl (2-(2-methyl-5-nitro-1-imidazolyl)ethyl) sulphone, tinidazole, Pfizer, was given in a dosage of 150 mg twice daily for seven days to 10 healthy volunteers and to 24 students infested with G. lamblia. The drug was found to be effective in curing giardiasis and in eradicating G. lamblia from the intestinal tract. All the students with symptomatic giardia infestation became free from gastrointestinal disturbance, usually soon after treatment was started. None of the 24 students had G. lamblia in their stools after tinidazole treatment was discontinued or at follow-up. No side effects of the drug were seen and all of the subjects tolerated it very well.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barbieri D., De Brito T., Hoshino S., Nascimento O. B., Martins Campos J. V., Quarentei G., Marcondes E. Giardiasis in childhood. Absorption tests and biochemistry, histochemistry, light and electron microscopy of jejunal mucosa. Arch Dis Child. 1970 Aug;45(242):466–472. doi: 10.1136/adc.45.242.466. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bengtsson E. Tropikmedicinska sjukdomar vårdade på Roslagstulls sjukhus. Lakartidningen. 1967 Sep 20;64(38):3721–3731. [PubMed] [Google Scholar]
  3. CORTNER J. A. Giardiasis, a cause of celiac syndrome. AMA J Dis Child. 1959 Sep;98:311–316. doi: 10.1001/archpedi.1959.02070020313004. [DOI] [PubMed] [Google Scholar]
  4. Forsell J., Lantorp K., Sterner G. Giardiasis bland svenska turister efter resa til Sovjetunionen. Lakartidningen. 1972 Mar 1;69(10):1132–1137. [PubMed] [Google Scholar]
  5. Howes H. L., Jr, Lynch J. E., Kivlin J. L. Tinidazole, a new antiprotozoal agent: Effect on Trichomonas and other protozoa. Antimicrob Agents Chemother (Bethesda) 1969;9:261–266. [PubMed] [Google Scholar]
  6. Kidney W., Holland P. D. Giardiasis in children. J Ir Med Assoc. 1967 Oct;60(364):375–381. [PubMed] [Google Scholar]
  7. Miller M. W., Howes H. L., English A. R. Tinidazole, a potent new antiprotozoal agent. Antimicrob Agents Chemother (Bethesda) 1969;9:257–260. [PubMed] [Google Scholar]
  8. Moore G. T., Cross W. M., McGuire D., Mollohan C. S., Gleason N. N., Healy G. R., Newton L. H. Epidemic giardiasis at a ski resort. N Engl J Med. 1969 Aug 21;281(8):402–407. doi: 10.1056/NEJM196908212810802. [DOI] [PubMed] [Google Scholar]
  9. RENDTORFF R. C. The experimental transmission of human intestinal protozoan parasites. II. Giardia lamblia cysts given in capsules. Am J Hyg. 1954 Mar;59(2):209–220. doi: 10.1093/oxfordjournals.aje.a119634. [DOI] [PubMed] [Google Scholar]
  10. RIDLEY D. S., HAWGOOD B. C. The value of formol-ether concentration of faecal cysts and ova. J Clin Pathol. 1956 Feb;9(1):74–76. doi: 10.1136/jcp.9.1.74. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Sterner G., Lantorp K., Lidman K. Giardiasis--ett aktuellt sjukdomsproblem i Sverige. Nord Med. 1971;86(46):1343–1346. [PubMed] [Google Scholar]
  12. Taylor J. A., Jr, Migliardi J. R., Von Wittenau M. S. Tinidazole and metronidazole pharmocokinetics in man and mouse. Antimicrob Agents Chemother (Bethesda) 1969;9:267–270. [PubMed] [Google Scholar]
  13. WESTER P. O., MOLIN L., BENGTSSON E. [Giardiasis in Sweden]. Nord Med. 1963 Jun 6;69:670–671. [PubMed] [Google Scholar]
  14. Wåhlin S. Giardiasis hos utlandsresenärer. Lakartidningen. 1971 Jan 6;68(2):125–128. [PubMed] [Google Scholar]
  15. Yardley J. H., Bayless T. M. Giardiasis. Gastroenterology. 1967 Feb;52(2):301–304. [PubMed] [Google Scholar]

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