Parasitic Causes of Secretory Diarrhea in Children and Chronically Ill Adult.

NCT ID: NCT03166670

Last Updated: 2021-06-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-01

Study Completion Date

2021-04-12

Brief Summary

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Diarrhea is one of the most common reasons for people to seek medical advice - but it can range from being a mild, temporary condition, to be life threading condition. It is estimated that there are 2 billion cases of diarrheal disease every year globally, and that 1.9 million children below the age of 5 years, mostly in developing countries, die annually.

Detailed Description

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Secretory diarrhea has many causes as infection with bacteria, viruses or protozoa. It results from increased chloride secretion, decreased sodium absorption, or increased mucosal permeability . Parasitic pathogens induce Secretory diarrhea as they infect and damage the absorptive villus tips, leaving Secretory crypts unbalanced, to cause net secretion and diarrhea. Parasitic causes include Cryptosporidium parvum or hominis ,Capillaria philippinensis and Giardia lamblia. Cryptosporidiosis is also recognized as a cause of prolonged and persistent diarrhea in children and persons with impaired immunity. The disease is transmitted via the fecal-oral route from infected hosts. It can be also transmitted following animal contact, ingestion of water (mainly during swimming), or through food. Cryptosporidium has emerged as the most frequently recognized cause of water-associated outbreaks of gastroenteritis. This is because of the oocyst stage in its life cycle; Cryptosporidium can resist disinfection, including chlorination, and can survive for a prolonged period in the environment.

Conditions

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Diarrhea, Secretory

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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study group

children with acute secretory diarrhea

stool examination

Intervention Type DIAGNOSTIC_TEST

collection of stool specimen and microscopic examination for parasites

real time polymerase chain reaction

Intervention Type DIAGNOSTIC_TEST

evaluation of genotype of cryptosporidium in stool specimen

Control group

normal healthy children

stool examination

Intervention Type DIAGNOSTIC_TEST

collection of stool specimen and microscopic examination for parasites

real time polymerase chain reaction

Intervention Type DIAGNOSTIC_TEST

evaluation of genotype of cryptosporidium in stool specimen

Interventions

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stool examination

collection of stool specimen and microscopic examination for parasites

Intervention Type DIAGNOSTIC_TEST

real time polymerase chain reaction

evaluation of genotype of cryptosporidium in stool specimen

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Children presented with secretory diarrhea(acute watery diarrhea) attend to out clinic lab of Assiut University pediatric hospital or admitted in pediatric hospital(gastroenterology department) during the study period.
2. adult patients having acute watery diarrhea attend to out clinic labs of Assiut University hospital or admitted in gastroenterology, nephrology and oncology department of hospital during the study period.

Exclusion Criteria

1. viral and bacterial causes of diarrhea
2. Patients who were already diagnosed as intestinal inflammatory disease as irritable bowel syndrome.
3. Autoimmune conditions, such as ulcerative colitis, Crohn's disease and coeliac disease.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Asmaa Elderwy

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Asmaa M Abd elaziz, MD

Role: PRINCIPAL_INVESTIGATOR

Assuit University, Faculty of medicine

Locations

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Heba gamal rashed

Asyut, , Egypt

Site Status

Countries

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Egypt

References

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Pawlowski SW, Warren CA, Guerrant R. Diagnosis and treatment of acute or persistent diarrhea. Gastroenterology. 2009 May;136(6):1874-86. doi: 10.1053/j.gastro.2009.02.072. Epub 2009 May 7.

Reference Type BACKGROUND
PMID: 19457416 (View on PubMed)

Other Identifiers

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PSDCC

Identifier Type: -

Identifier Source: org_study_id

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