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The examinations comprised 227 persons of the staff and 101 children using Fulleborn's Rivas' methods, direct and perianal smears. The invasion of adults due to intestinal parasites was found in 42% of cases, including Trichocephalus (19%), Enterobius (17%) Entamoeba coli (12%) and Lamblia (4%) infection. The intestinal parasites were discovered in 54% of their children; they were Enterobius (34%), Trichocephalus (19%), Lamblia (14%), Entamoeba coli (8%); Coprologic examination is recommended in the candidates for the work in the Sanatorium and in the case of parasitic invasion, the members of the family are to be checked, and the parasites devastated.
The examination of 240 feces samples from children with Little's syndrom according to Fulleborn's and Rivos' method, and by means of direct and perianal smears showed the infection due to intestinal parasites in 62% of cases; the staff was invaded in 53%. This would suggest an epidemiologic relation between the invasion of children and staff of the Sanatorium. Coprologic examination of children before the admission is recommended as well as periodical coprology in the staff with parallel treatment of the infected persons. The haemoglobin level lower than 70% and the reduction in the red cell count (below 3.5 ml/mm³) were found in 63% of cases with Trichocephalus and in 51% of Enterobius invasion. Eosinophilia occurred in 31% of cases with Trichocephalus and in 19% of cases with Enterobius invasion. In 22% of infected children the urinary diastase level was higher than 64 Wohlgemuth units.
The relapses in the treatment of lambliosis with atebrin are mostly caused by the parasite cysts remaining in the organism. In this case, 4, 7 phenanthrolino – 5-6 quinone (Entobex - CIBA) is effective. Taking this into consideration the authors applied both these drugs to 24 children (6 to 13 years of age) infected with Lamblia intestinalis. Because of Little's disease these children stayed at the medical establishment „Górka" in Busko-Zdrój on rehabilitation. To all these children atebrin was administered once a day, during 2 days. Subsequently the patients received three 7-days treatments with Entobex. with weekly intervals between the treatments. Entobex was administered according to the age of the child, i. e. 100 to 300 g daily. The children stood the treatment generally quite well 1) After 45 days from the beginning of the Entobex treatment no Lamblia cysts were found in the faeces of 22 patients - 91,6% (out of 24 patients treated). 2) Out of 22 children cured, 10 were examined additionally after 99-126 days after the Entobex treatment, and 1 child on the 72 day. The faeces of all these children did not contain Lamblia cysts. 3) The results obtained evidence of a favourable remedial effect of the joined treatment with atebrin and Entobex, on Lamblia in children. 4) Considering these encouraging results these investigations should be controlled on larger material.
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