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Treatment of diarrhea caused by Giardia intestinalis and Entamoeba histolytica or E. dispar: a randomized, double-blind, placebo-controlled study of nitazoxanide.

Abstract
A prospective randomized, double-blind, placebo-controlled study was conducted to assess the efficacy and safety of nitazoxanide in the treatment of diarrhea caused by Giardia intestinalis or Entamoeba histolytica and/or E. dispar in 89 adults and adolescents, 22 of whom were diagnosed with G. intestinalis, 53 with E. histolytica and/or E. dispar, and 14 with both G. intestinalis and E. histolytica and/or E. dispar. The study medication was administered as 1 nitazoxanide 500-mg tablet or a matching placebo twice daily for 3 days. Thirty-eight (81%) of 47 patients in the nitazoxanide treatment group resolved diarrhea within 7 days (median, 3 days) after initiation of treatment, versus 17 (40%) of 42 in the placebo group (P=.0002). With its efficacy in treating a broad spectrum of enteric protozoan pathogens, nitazoxanide could play an important role in the management of diarrhea caused by enteric protozoa, reducing morbidity and costs associated with these diarrheal illnesses.
AuthorsJ F Rossignol, A Ayoub, M S Ayers
JournalThe Journal of infectious diseases (J Infect Dis) Vol. 184 Issue 3 Pg. 381-4 (Aug 01 2001) ISSN: 0022-1899 [Print] United States
PMID11443569 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Antiprotozoal Agents
  • Nitro Compounds
  • Placebos
  • Thiazoles
  • nitazoxanide
Topics
  • Adolescent
  • Adult
  • Aged
  • Animals
  • Antiprotozoal Agents (therapeutic use)
  • Child
  • Diarrhea (drug therapy, parasitology)
  • Double-Blind Method
  • Dysentery, Amebic (complications, drug therapy)
  • Entamoeba (isolation & purification)
  • Entamoeba histolytica (isolation & purification)
  • Entamoebiasis (complications, drug therapy)
  • Feces (parasitology)
  • Female
  • Giardia lamblia (isolation & purification)
  • Giardiasis (complications, drug therapy)
  • Humans
  • Male
  • Middle Aged
  • Nitro Compounds
  • Placebos
  • Thiazoles (therapeutic use)

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