Long-Term Predictors of Recurrent Laboratory-Confirmed Giardiasis: A 10-Year National Surveillance Study

Eran Kopel; Itamar Grotto; Tamar Grossman; Ziona Haklai; Esther Marva; Emilia Anis

doi:10.1093/jpids/piu009

Long-Term Predictors of Recurrent Laboratory-Confirmed Giardiasis: A 10-Year National Surveillance Study

J Pediatric Infect Dis Soc. 2014 Dec;3(4):343-6. doi: 10.1093/jpids/piu009. Epub 2014 Feb 20.

Authors

Eran Kopel¹, Itamar Grotto², Tamar Grossman³, Ziona Haklai⁴, Esther Marva³, Emilia Anis⁵

Affiliations

¹ Division of Epidemiology.
² Public Health Services, Ministry of Health, Jerusalem, Israel Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva.
³ Central Public Health Laboratories, Ministry of Health Braun School of Public Health and Community Medicine, Hebrew University Hadassah Faculty of Medicine.
⁴ Division of Information and Computing, Ministry of Health, Jerusalem, Israel.
⁵ Division of Epidemiology Braun School of Public Health and Community Medicine, Hebrew University Hadassah Faculty of Medicine.

PMID: 26625455
DOI: 10.1093/jpids/piu009

Abstract

During 2002 to 2011, 275 of 6828 children with giardiasis in Israel were reported with recurrent, over 6 months apart, episodes. The only significant multivariable-adjusted risk predictor of a recurrent episode was non-Jewish ethnicity (hazard ratio, 4.61 [95% confidence interval, 3.32-6.40]; P < .001), also accompanied by significant interaction with lower maternal education.

Keywords: Giardia lambia; epidemiology; ethnicity; pediatric; socioeconomic status..