ArticleJournal of veterinary internal medicine
Long-Term Follow-Up After Acute Gastroenteritis Caused by Giardia Infection in Juvenile Dogs.
Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
backgroundIn humans, there is a high prevalence of postinfectious irritable bowel syndrome (IBS) after acute giardiasis.
objectiveTo evaluate the prevalence of chronic gastrointestinal and dermatologic signs in dogs after acute Giardia-associated gastroenteritis. ANIMALS: Forty-nine dogs with acute gastroenteritis and confirmed Giardia infection and fifty control dogs without a history of acute giardiasis.
methodsRetrospective longitudinal study. Data were collected from dogs with acute gastrointestinal signs and confirmed Giardia infection at a young age (< 9 months) and from healthy controls matched by breed, sex, and age. After a minimum follow-up period of 12 months, dog owners completed a questionnaire assessing chronic gastrointestinal and dermatologic signs later in life. Severity of chronic disease was quantified using a modified canine inflammatory bowel disease activity index (CIBDAI). Univariable logistic regression was used to compare frequencies of chronic signs between groups.
resultsDogs with acute giardiasis at a young age had a higher prevalence of chronic intestinal signs (Giardia 29%, 14/49; controls 10%, 5/50; p = 0.03) and pruritus (Giardia 33%, 16/49; controls 8%, 4/50; p = 0.01) later in life than did control dogs. A high canine acute diarrhea severity (CADS) index during acute enteritis, combined with metronidazole treatment, increased the risk of developing chronic gastrointestinal signs (p = 0.04). CONCLUSION AND CLINICAL IMPORTANCE: Juvenile dogs with acute gastroenteritis and confirmed Giardia infection had a higher prevalence of pruritus and chronic gastrointestinal signs. Severe enteritis and metronidazole administration may increase the risk of developing chronic gastrointestinal signs.
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