Efficacy and Tolerability of Quinacrine Monotherapy and Albendazole Plus Chloroquine Combination Therapy in Nitroimidazole-Refractory Giardiasis: A TropNet Study.

Author: BottieauEmmanuel, HatzChristoph, KuenzliEsther, MechainMatthieu, MørchKristine, NeumayrAndreas, RotheCamilla, SchunkMirjam, Soriano PérezManuel Jesús, SothmannPeter, SydowVéronique, TheunissenCaroline, Van EsbroeckMarjan

Paper Details 
Original Abstract of the Article :
BACKGROUND: Giardiasis failing nitroimidazole first-line treatment is an emerging problem in returning European travelers. We present data on the efficacy and tolerability of 2 second-line treatment regimens. METHODS: This prospective, open-label, multicenter study assessed the efficacy and tolerab...See full text at original site
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引用元:
https://doi.org/10.1093/cid/ciab513

データ提供:米国国立医学図書館(NLM)

Giardiasis: A Treatment Odyssey for Travelers

This research addresses the growing challenge of [Giardiasis], a parasitic infection that can cause debilitating gastrointestinal symptoms, particularly in travelers returning from developing countries. The study focused on evaluating the efficacy and tolerability of two second-line treatment regimens for nitroimidazole-refractory giardiasis, a condition where the infection fails to respond to standard treatment. The researchers found that quinacrine monotherapy was highly effective, achieving a clinical and parasitological cure in 81% and 100% of patients, respectively. In contrast, albendazole plus chloroquine combination therapy had a significantly lower cure rate. While both treatments were generally well-tolerated, quinacrine was associated with a low risk of severe neuropsychiatric side effects. Notably, the majority of nitroimidazole-refractory Giardia infections were acquired in India, highlighting the importance of travel-related risk factors.

Quinacrine: A Potential Weapon Against Refractory Giardiasis

This study provides compelling evidence that quinacrine monotherapy can be an effective treatment option for nitroimidazole-refractory giardiasis, a condition that often frustrates clinicians. It's like finding a hidden oasis in the vast desert of treatment options for this stubborn infection. These findings are encouraging for patients struggling with this debilitating condition, offering a renewed hope for a successful cure.

Travelers Beware: The Perils of Giardiasis

This research serves as a reminder of the potential health risks associated with international travel, particularly to developing countries. It underscores the importance of preventive measures such as proper hygiene and water safety to minimize the risk of acquiring infections like giardiasis. Remember, just as a desert traveler must be prepared for the unexpected, travelers should be aware of the potential health risks and take necessary precautions to protect themselves.

Dr.Camel's Conclusion

This study provides valuable insights into the treatment of nitroimidazole-refractory giardiasis, a challenging condition often encountered in travelers returning from developing countries. The effectiveness of quinacrine monotherapy offers a promising new therapeutic option, while the study's findings underscore the importance of appropriate travel health precautions to minimize the risk of acquiring this infection. Just as a wise desert explorer prepares for their journey, travelers should be mindful of potential health risks and seek appropriate preventive measures to ensure a safe and enjoyable experience.

Date :
  1. Date Completed 2021-10-29
  2. Date Revised 2021-10-29
Further Info :

Pubmed ID

34115100

DOI: Digital Object Identifier

10.1093/cid/ciab513

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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