Giardia intestinalis
Giardia intestinalis is a cyst-forming, single-celled parasite of the genus Giardia (Lamblia).
Giardia intestinalis causes an infectious diarrheal disease (giardiasis) which can lead to the following disease patterns:
Gastroenteritis
Cholangitis (inflammation of the bile ducts)
Pancreatitis (inflammation of the pancreas)
Giardiasis intestinalis occurs in various animal species (beavers, voles, cattle, dogs, cats) as well as in humans.
Relevance of pathogen in transmission in endoscopy
Gastroenterology: High
Pulmonology: Not relevant
Ear, nose, and throat: Not relevant
Urology: Not relevant
Relevance for endoscope surveillance
Low or moderate concern organism
Transmission route
Giardia intestinalis is usually transmitted fecal-orally via contaminated food or contaminated drinking water. Cysts (resistant permanent forms) of the pathogen can remain infectious in (drinking) water for up to three months.
Resistance to antibiotics
A possible decreased susceptibility to nitroimidazoles is described.
Sources and further readings
Giardiasis, Robert Koch-Institut, https://www.rki.de/DE/Content/InfAZ/G/Giardiasis/Giardiasis.html. Accessed on 07.06.2021.
Gries O, Ly T: Infektologie – Kompendium humanpathogener Infektionskrankheiten und Erreger, Springer-Verlag Berlin Heidelberg 2019.
Mlekusch I. Parasitäre Durchfallerkrankungen: Selten, aber hartnäckig, Österreichische Ärzte-Zeitung, Nr. 9/2018.
Parasites – Giardia, Centers for Disease Control and Prevention, https://www.cdc.gov/parasites/giardia/pathogen.html. Accessed on 07.07.2021.