The epidemiology of Giardiasis

The prevalence of giardia intestinalis in dyspeptic and diabetic patients

Background and Aims. We aimed to investigate the prevalence of Giardiasis in patients with dyspepsia and patients with diabetes mellitus. Methods. 400 patients and 100 healthy persons were included in this clinical prospective study. The number of patients in each group was equal, 200 dyspeptic and 200 diabetic, respectively. The antigen of G. lntestinalis was determined in the stool specimens by ELISA method. Results. The frequency of Giardiasis was 7% in dyspeptic and 15% in diabetic patients. There was no positive results in any of the healthy persons. There was a significant difference in prevalence rate of Giardiasis between patients with dyspepsia and diabetes mellitus (P < 0.05). Conclusions. These results revealed that the prevalence of Giardiasis in dyspepsia and with diabetes mellitus was high in our country. This is the first study investigating the prevalence of Giardiasis in diabetic patients. To investigate Giardiasis in diabetic patients, who have dyspepsia or not, may be a good approach for public health.

The global war against intestinal parasites--should we use a holistic approach?

Intestinal parasite infections have been known to compromise the quality of human life since prehistoric times. Throughout the ages, human civilizations have fought against parasitism, including intestinal parasites. During the second half of the last century, the focus of disease-combating efforts moved to other imminent public health issues, under the notion that the fight against infectious diseases had been won. However, the disease incidence data indicate that these diseases continue to wreak havoc on human productivity across the globe. Lately, chemotherapeutic intervention has been stressed for the control of intestinal parasitic infections. In this paper we evaluate the need for a holistic approach to address this issue and make recommendations for this cause.

Is there a role for routine duodenal biopsy in diagnosing giardiasis in a European population?

OBJECTIVE

Giardia lamblia is the most common enteric protozoan world-wide. The prevalence varies internationally. Patients with giardiasis typically have diarrhoea but may have atypical symptoms when referred for endoscopy. The purpose of this study was to investigate whether a policy of routine duodenal biopsies increased the yield of diagnosing Giardia and whether treatment improved the patient's presenting symptoms.

MATERIAL AND METHODS

Our hospital endoscopy database was examined retrospectively, from January 2003 to January 2004, to identify patients who had undergone gastroscopy and targeted duodenal biopsies. Thereafter, routine duodenal biopsies were carried out prospectively on unselected adult patients referred for gastroscopy from January 2004 to April 2006. Patients diagnosed with Giardia were assessed for symptoms and response to treatment.

RESULTS

In the retrospective group, of the 5979 gastroscopies performed, 1464 duodenal biopsies were carried out; 5 patients had giardiasis, a prevalence of 0.08%, CI 0.01-0.16%. In the prospective group, 2000 gastroscopies with duodenal biopsies were performed; 9 patients had giardiasis, a prevalence of 0.45%, CI 0.16-0.74%. The difference in prevalence was 0.37%, CI 0.06-0.67%, which was statistically significant with a Yates' chi(2)(CC) of 9.49, p<0.005. On comparing response to treatment, the Fisher exact test revealed a proportional difference that was not statistically significant.

CONCLUSIONS

In a UK population, the prevalence of Giardia was low. Although a policy of routine duodenal biopsy resulted in more cases of Giardia being identified, this increase in detection did not correspond with an improvement in patients' symptoms. This suggests that Giardia may be a coincidental finding. This study does not support the approach of routine duodenal biopsy in diagnosing giardiasis.

Jones J. Survey of obstetrician-gynecologists about giardiasis

Giardiasis is one of the most common parasitic diseases in the United States with over 15 400 cases reported in 2005. A survey was conducted by The American College of Obstetricians and Gynecologists (ACOG) in collaboration with the Centers for Disease Control and Prevention (CDC) to evaluate the knowledge of obstetricians and gynecologists regarding the diagnosis and treatment of giardiasis. The questionnaire was distributed to a random sample of 1200 ACOG fellows during February through June of 2006. Five hundred and two (42%) responded to the survey. The respondents showed good general knowledge about diagnosis, transmission, and prevention; however, there was some uncertainty about the treatment of giardiasis and which medications are the safest to administer during the first trimester of pregnancy.

Giardia lamblia infection in patients with irritable bowel syndrome and dyspepsia: A prospective study

AIM: To evaluate the prevalence of Giardia lamblia (G. lamblia) infection in patients with irritable bowel syndrome (IBS) and dyspepsia and to establish which is the most accurate test to diagnose the infection in this setting.

METHODS: One hundred and thirty-seven patients who consecutively attended the Outpatient Gastroenterology Clinic for the first time between January 2002 and December 2003 due to symptoms of IBS and/or dyspepsia were recruited. All patients underwent clinical evaluation, first-step haematology and chemistry tests, serologic assays for celiac disease, lactose-H₂ breath test, abdominal ultrasonography, and esophagogastroduodenoscopy. Helicobacter pylori status was evaluated. In patients with symptoms of IBS older than 45 years, colonoscopy was also performed. In all patients, duodenal biopsies and stool samples were examined for trophozoites and cysts of G. lamblia by several methods.

RESULTS: G. lamblia was identified in 9 patients. The following diagnoses were also made: IBS (100/137, 73%), functional dyspepsia (62/137, 45%), organic dyspepsia (33/137, 24%), and lactose intolerance (75/137, 55%). A significant association was found between giardiasis and H pylori infection (χ2 = 6.632, OR = 12.4, CI = 1.5-68.1). There were no symptoms that reliably allowed the recognition of giardiasis. Direct search of the parasite in duodenal biopsy and stool sample examinations gave concordant results in all cases while histological examination of duodenal biopsies displayed a low sensitivity (e.g., 22.2%).

CONCLUSION: In this consecutive series, diagnosis of G. lamblia infection accounted for 6.5% of patients with IBS and dyspepsia. Duodenal biopsies for diagnosis of giardiasis may be unnecessary if stool sample examination is performed.

Variation in Giardia: implications for taxonomy and epidemiology

The taxonomy, life cycle patterns and zoonotic potential of Giardia infecting mammals and birds have been poorly understood and controversial for many years. The development of molecular tools for characterising isolates of Giardia directly from faeces or environmental samples has made an enormous contribution to resolving these issues. It is now clear that the G. duodenalis morphological group is a species complex comprising a series of what appear to be largely host-adapted species, and at least two zoonotic species for which humans are the major host, but which are also capable of infecting other mammals. It is proposed that this new information be reflected in the redesignation of several species of Giardia described previously. The molecular epidemiological tools that are now available need to be applied in different endemic foci of Giardia transmission, as well as in outbreak situations, in order to understand better the frequency of zoonotic transmission as well as to develop more effective approaches to controlling giardiasis.

Lactose hydrogen breath test in Giardia lamblia-positive patients

The study was conducted in 54 adult patients with Giardia lamblia infection and 54 adult controls to detect lactose maldigestion employing the noninvasive lactose hydrogen breath test. Forty of 54 (74%) patients with Giardia lamblia and 24 of 54 (44.4%) controls showed lactose maldigestion (P < 0.01). In conclusion, this study shows that the frequency of lactose maldigestion is significantly higher in adult Indians suffering from Giardia lamblia infection compared to healthy individuals.

The effect of water quality on cattle performance on pasture

In western Canada, dugouts are the primary source of water for beef cattle during the summer months. Over time, drought conditions and/or direct access by grazing animals have a negative effect on water constituents and overall water quality. A study was conducted to determine the effects of improvements in water quality on cattle performance. The effect of pasture water quality on weight gain of beef cattle was assessed with 44 Hereford yearling steers over 5 years and 40 Angus cow–calf pairs over 3 years. From 1999 to 2003, cattle were allocated to 1 of 4 treatments, which comprised untreated dugout water pumped to a trough, aerated water pumped to a trough, and coagulated and chlorinated water pumped to a trough, all compared with direct access by livestock to the water source. Data were collected on livestock weight gains, water consumption, fecal parasites, environmental conditions, water chemistry, biological constituents, and forage production and quality. Water treatment by aeration or coagulation tended to improve steer weight gains (P < 0.05) over untreated water from a dugout in 3 of 5 years. Daily weight gains tended to be improved slightly by simply pumping water to a trough without treatment. Water aerated and pumped to a trough in early summer tended to produce greater (P < 0.05) weight gains in calves than those drinking directly from the dugout. The effect of treatment on improving cattle weight gains appeared to be related to improved water palatability, which increased water and feed consumption. Water chemistry and biological constituents analysed did not identify significant differences among treatments. These results suggest that improving water quality with aeration and pumping to a trough will improve weight gain 9–10% over a 90-day grazing period in most years.

Nomenclature and genetic groupings of Giardia infecting mammals

Giardia is a ubiquitous and well-known enteric parasite affecting humans and a range of domestic and wild mammals. It is one of the most common parasites of domestic dogs and dairy cattle and a frequently recognized waterborne pathogen. Giardiasis is considered to be a re-emerging infection because of its association with outbreaks of diarrhoea in child-care centres. Although only a single species has been recognized as causing disease in humans and most other mammals, molecular characterization of morphologically identical isolates from humans and numerous other species of mammals has confirmed the heterogeneity of this parasite and provided a basis for a clearer understanding of the taxonomy and zoonotic potential of Giardia.

A rapid viability assay for Cryptosporidium oocysts and Giardia cysts for use in conjunction with indirect fluorescent antibody detection

There is an urgent need to develop rapid methods to determine the viability of Cryptosporidium oocysts and Giardia cysts in environmental samples, especially water. The inclusion of the vital dye propidium iodide (PI) by oocysts and cysts has been previously shown to correlate well with nonviability. The ability of nonviable oocysts and cysts to include PI has been employed to develop a rapid viability determination method that could be used in conjunction with the current indirect fluorescent antibody (IFA) method for detecting oocysts and cysts. The efficacy of this PI-IFA method to detect and determine the viability status of oocysts/cysts has been tested using oocyst samples inactivated by three different approaches. The ability to incorporate PI staining with IFA detection provides the advantage of both detection and viability determination at the same time, using the same sample.

Giardiasis: a histologic analysis of 567 cases

BACKGROUND

The histopathology of the upper and lower gastrointestinal tract of patients with giardiasis as shown by endoscopy with biopsy is ill-defined. We therefore report on 567 cases observed in our institution.

METHODS

A retrospective analysis of all cases with giardiasis observed between 1988 and 1994 was performed.

RESULTS

On histologic slides trophozoites were found in duodenal (82.5%) and jejunal (2.1%) mucosa and also in gastric antral (8.7%) and ileal mucosa (12.1%) but rarely in the colon (0.4%). An entirely normal light-microscopic appearance of the duodenal mucosa was found in 462 cases (96.3%). Mild villous shortening and mild inflammation of the lamina propria were observed in duodenal mucosa in 18 subjects (3.7%). In jejunal, ileal, gastric, and colonic mucosa, no Giardia-specific histologic changes were identified. There was a clear male predominance with 347 (61.2%) males and 220 (38.8%) females. Mean age, which was comparable in males and females, was 49.5 +/- 17 years (range, 3-95 years). In 252 Giardia-positive cases gastric biopsy specimens were available, and showed Helicobacter pylori-associated gastritis in 57.8%, reactive gastritis in 10.3%, normal mucosa in 12.9%, chronic atrophic gastritis of the body in 2.9%, and other forms of gastritis in 16.1%.

CONCLUSIONS

This study shows that the histology of the small-bowel mucosa is inconspicuous in most subjects with giardiasis. A search for the parasite must therefore be made in all biopsy samples obtained from this area. Furthermore, giardiasis was not associated with a particular gastric disease, such as chronic atrophic gastritis of the body.

Structure of a frequently rearranged rRNA-encoding chromosome in Giardia lamblia

It has been shown previously that the rRNA encoding chromosomes in Giardia lamblia undergo frequent rearrangements with an estimated rate of approximately 1% per cell per division (Le Blancq et al., 1992, Nucleic Acids Res., 17, 4539-4545). Following these observations, we searched for highly recombinogenic regions in one of the frequently rearranged rRNA encoding chromosomes, that is chromosome 1, a small, 1.1 Mb chromosome. Chromosome 1 undergoes frequent rearrangements that result in size variation of 5-20%. We analyzed the structure of chromosome 1 in clonal lineages from the WB strain. The two ends of chromosome 1 comprise telomere repeat [TAGGG] arrays joined to a truncated rRNA gene and a sequence referred to as '4e', respectively. Comparison of the structure of four polymorphic versions of chromosome 1, resulting from independent rearrangement events in four cloned lines, located a single polymorphic region to the variable rDNA-telomere domain. Chromosome 1 is organized into two domains: a core region spanning approximately 850 kb that does not exhibit size heterogeneity among different chromosome 1 and a variable region that spans 185-450 kb and includes the telomeric rRNA genes, referred to as the variable rDNA-telomere domain. The core region contains a conserved region, spanning approximately 550 kb adjacent to the telomeric 4e sequence, which is only present in the 4e containing chromosomes and a 300 kb region of repetitive sequences that are also components of other chromosomes as well. Changes in the number of rDNA repeats accounted for some, but not all, of the size variation. Since there are four chromosomes that share the core region of chromosome 1, we suggest that the genome is tetraploid for this chromosome.

Epidemiology of equine Cryptosporidium and Giardia infections

Prevalence and infection patterns of Cryptosporidium and Giardia infections in horses were studied by a direct immunofluorescence staining method. Faecal examinations of 222 horses of different age groups revealed Cryptosporidium infection rates of 15-31% in 66 foals surveyed in central Ohio, southern Ohio and central Kentucky, USA. Only 1 of 39 weanlings, 0 of 46 yearlings, and 0 of 71 mares were positive. Giardia infection was found in all age groups, although the infection rates for foals were higher (17-35%). Chronological study of infection in 35 foals showed that foals started to excrete Cryptosporidium oocysts between 4 and 19 weeks and Giardia cysts between 2 and 22 weeks of age. The cumulative infection rates of Cryptosporidium and Giardia in foals were each 71%. Some foals were concurrently infected with both parasites and excretion of oocysts or cysts was intermittent and long-lasting. The longest duration of excretion was 14 weeks for Cryptosporidium and 16 weeks for Giardia. Excretion of Cryptosporidium oocysts stopped before weaning, while excretion of Giardia cysts continued thereafter. Infected foals were considered the major source of Cryptosporidium infection in foals, whereas infected mares were deemed the major source of Giardia infection in foals. The high infection rate of Giardia in nursing mares suggested a periparturient relaxation of immunity. The results indicated that Cryptosporidium and Giardia infections are common in horses.

Variant cysteine-rich surface proteins of Giardia isolates from human and animal sources

Cloned Giardia isolates obtained from a sheep, a calf, and a human possessed a major membrane protein that showed marked intraspecific variations in size as demonstrated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis following surface biotinylation and radioiodination. Metabolic labeling with [35S] cysteine and electrophoretic analysis also revealed for each cloned isolate a predominant protein that corresponded in size to the major surface protein demonstrated by surface labeling techniques. Immunoprecipitation studies with a polyclonal antiserum specifically directed against the 90-kDa major cysteine-rich protein purified from a subclone of the sheep isolate (O2-4A1) showed that the cysteine-rich protein and the major surface protein are identical. The surface location of the antigen was further corroborated by the reaction of fluorescence-labeled antibodies raised against the 90-kDa O2-4A1 cysteine-rich protein with the entire surface of live trophozoites of the homologous clone. The ability of the cloned Giardia isolates to undergo variations of their cysteine-rich surface protein (CRISP) was demonstrated by the spontaneous appearance of new CRISPs in clonally derived populations during prolonged in vitro culturing and in cultures of the O2-4A1 clone that had survived treatment with the cytotoxic anti-90-kDa CRISP antiserum specific for the surface antigen of this clone. The surviving progeny were devoid of the original CRISP, as judged by resistance to the immune serum. Subsequent cysteine metabolic labeling of the recloned surviving trophozoites demonstrated a large number of new variants, each expressing a single CRISP that varied significantly in molecular weight from those in the different cloned lines. These studies suggest that the presence of CRISPs and their variations are not restricted to Giardia isolates obtained from humans but are universal phenomena among the Giardia duodenalis types of organisms.

A field and laboratory evaluation of a commercial ELISA for the detection of Giardia coproantigens in humans and dogs

A capture enzyme linked immunosorbent assay (CELISA) was evaluated for its ability to detect Giardia coproantigens in the faeces of humans and dogs in the Perth metropolitan area and Aboriginal communities in Fitzroy Crossing, Western Australia. Using zinc sulphate flotation and light microscopy, Giardia cysts and/or trophozoites were observed in 8 of 57 (14%) human stool samples from Perth and 21 of 55 (38%) stool samples from Fitzroy Crossing, after 2 separate examinations. Analysis of diagnostic sensitivity using the ELISA revealed that coproantigens were detected in all 29 human samples (100%) in which Giardia cysts and/or trophozoites were also present. Coproantigens were detected in one further sample from Perth and in 3 samples from Fitzroy Crossing in which no Giardia cyst or trophozoite was observed. The specificity of the test, as defined using Fitzroy Crossing samples free from Giardia, was 91%. The assay did not cross-react with Giardia-free stool samples containing Hymenolepis nana, Entamoeba coli, E. hartmanni, Chilomastix mesnili or Ancylostoma duodenale. Giardia cysts and/or trophozoites were also observed in 11 of 32 dog faecal samples (34%) in Perth and 11 of 29 dog samples (38%) in Fitzroy Crossing, after one zinc sulphate examination. The sensitivity of the ELISA for dogs was 64% and 55% for Perth and Fitzroy Crossing specimens respectively. The specificity was 95% when Fitzroy Crossing samples were used. Other parasites observed in Giardia-free faecal samples from dogs which did not produce a positive reaction with the kit were Ancylostoma caninum, Sarcocystis sp. and Isospora sp.(ABSTRACT TRUNCATED AT 250 WORDS)

Critical comparison of Giardia duodenalis from Australia and Switzerland using isoenzyme electrophoresis

Isoenzyme electrophoresis using 13 enzyme systems was applied to 31 Australian and 7 Swiss isolates of Giardia of human, cat, cattle, dog, sheep and rat origin. The Portland (ATCC No. 30888) reference strain was also included. The 39 isolates were divided into 22 different zymodemes. These consisted of 19 zymodemes containing the P1 and Australian isolates and three zymodemes containing Swiss isolates only. Differences in enzyme profiles between zymodemes was measured by euclidean distance and it was found that Australian isolates of Giardia exhibited more variation than the Swiss isolates. Relationships between zymodemes determined by clustering analysis are discussed with particular reference to the zoonotic potential of Giardia.

Giardíase em creches mantidas pela prefeitura do município de São Paulo, 1982/1983

Durante os anos de 1982 e 1983, foram realizados exames parasitológicos de fezes em 3.076 crianças de 0-6 anos, matriculadas em 52 creches mantidas pela Prefeitura do Município de Sáo Paulo e em 50 manipuladores de alimentos (funcionários da cozinha), relativos a 18 creches. Estudou-se a prevalência de infecção por Giardia lamblia conforme sexo e faixa etária do hospedeiro e sazonalidade da infecção. A giardíase foi mais freqüente nas faixas etárias compreendidas entre 1-4 anos. A prevalência média foi 32,8% entre as crianças e 4,0% entre os manipuladores de alimentos. O estudo da sazonalidade de infecção revelou ser a giardíase, em 1982, mais prevalente no Outono e Primavera; em 1983, as maiores prevalências ocorreram no Outono e Verão. Estudos estatísticos revelaram não haver associação entre sexo e prevalência de infecção, não ocorrendo também nenhuma diferença significativa entre as quatro regiões metropolitanas estudadas (p > 0,05). O modo mais provável de aquisição de G. lamblia nas creches estudadas foi através do contato inter-humano, uma vez que tanto os fatores ambientais, como outros, incriminados na veiculação da giardíase através da água em outros países, diferem dos encontrados em nosso Município. Os manipuladores de alimentos tiveram papel pouco expressivo como fonte de infecção, pois a prevalência de infecção nesses indivíduos foi de apenas 4,0%.

Immunohistochemical labeling of Giardia trophozoites spp. in formalin fixed paraffin embedded tissues

An immunoperoxidase method using rabbit anti human Giardia lamblia serum for the demonstration of giardia in paraffin embedded intestinal animal tissue is described. Specificity was tested against other protozoal parasites.

Growth, activities of enzymes in the small intestine, and ultrastructure of microvillous border in gerbils infected with Giardia duodenalis

The aim of this study was to assess and correlate changes in weight gain, food intake, small intestinal disaccharidase activities and microvillous border surface area over the course of a primary Giardia duodenalis infection in weanling Mongolian gerbils (Meriones unguiculatus). Weight gain in infected animals was significantly impaired between days 8 and 20 postinoculation when compared to age- and weight-matched controls. No difference in food intake was observed between groups. Trophozoite population in the small intestine was maximal on day 4 and 6 of infection, and colonization persisted in the duodenum throughout the experiment (30 days). In infected gerbils, mucosal sucrase and maltase activities were significantly depressed in the duodenum and jejunum on day 4 and in all areas of the small intestine by day 6. Eight and 25 days postinoculation, disaccharidase activities had recovered in the jejunum and distal small intestine but remained depressed in the duodenum, the area where trophozoite colonization persisted. Diffuse loss of microvillous border surface area was observed in the duodenum and jejunum after 6 days of infection. Eight days postinoculation, microvillus surface area had returned to normal in the jejunum, but not in the duodenum. Our findings demonstrate that acute giardiasis in weanling gerbils impairs weight gain, depresses disaccharidase activities, and diffusely reduces mucosal microvillous border surface area.(ABSTRACT TRUNCATED AT 250 WORDS)

Geographic variation in Giardia karyotypes

Chromosomes of 41 stocks of Giardia duodenalis derived from humans and 14 stocks from other animal species were analysed by field inversion gel electrophoresis (FIGE). These stocks have two predominant karyotypes as judged by FIGE which appear to fit a geographic distribution. Under FIGE conditions used to optimize the detection of size variation in Giardia chromosomes, five or six major chromosomes could be identified. Most of the stocks derived from North America have three major chromosomes smaller than 800 kb while most of the Australian stocks have four. A few exceptions, and minor variations, of these karyotypes were observed. It was estimated that not all of the DNA entered the gel, the remainder being trapped conformations or very large chromosomes. Karyotypes of Giardia stocks from different animal hosts and human sources within a geographical region are similar.

Giardia muris and Giardia duodenalis groups: ultrastructural differences between the trophozoites

Trophozoites of the Giardia muris group from hamsters, domestic rats and mice and of the Giardia duodenalis group from hamsters and domestic rats were examined by transmission electron microscopy. The basic ultrastructure of the trophozoites was similar. Differences were shown in the morphology of the ventrolateral flange of the trophozoites of Giardia muris and Giardia duodenalis groups. Marginal plates are less developed in the species of the Giardia duodenalis group. In this group, the distal extremity of the lateral flange is short and thick and the marginal plate does not penetrate into the distal extremity of the flange. In the Giardia muris group, the ventro-lateral flange is well developed and narrow and the marginal plate penetrates the distal extremity of the flange. The osmiophilic lamella, which accompanies the dorsal surface of the marginal plate is seen only in the Giardia muris group.

Giardia intestinalis: electrophoretic evidence for a species complex

The technique of allozyme electrophoresis was applied to 29 Australasian stocks and 48 clones of Giardia intestinalis from humans as a means of increasing the number of genetic markers currently available for identification and classification. Fifty different enzymes were examined and of these 26 loci were found to be suitable for use as genetic markers. The data indicate the presence of four discrete genetic groups within the sample of G. intestinalis examined. The groups had fixed genetic differences at 23-69% of loci established. The evidence suggests that G. intestinalis is a species complex. The results have important implications for the systematics of human isolates of Giardia, as well as for studies on the epidemiology and demography of giardiasis in Australia and elsewhere.

Comparative studies on the axenic in vitro cultivation of Giardia of human and canine origin: evidence for intraspecific variation

Comparative studies were carried out on the in vitro cultivation of Giardia duodenalis from dogs and humans. Cultures were initiated with trophozoites obtained by artificial excystation of cysts present in human or canine faecal specimens, or using trophozoites collected from the small intestine of dogs postmortem. 12 new human isolates of G. duodenalis were established in axenic culture from cysts present in faecal specimens, and successfully cryopreserved, an overall success rate for in vitro establishment of Giardia from cysts of approximately 44%. In contrast, not one of 24 canine isolates, whether of faecal or intestinal origin, became established in vitro. Since identical media and culture conditions were used for the cultivation of both human and canine isolates, the results may reflect strain differences. The zoonotic significance of such intraspecific variation is discussed.

Infectivity of Swiss Giardia isolates to jirds and mice, and in vitro cultivation of trophozoites originating from sheep

The susceptibility of Giardia-free jirds (Meriones unguiculatus) and AJ-strain mice to oral inoculation with cysts from Swiss Giardia isolates was assessed. Giardia cysts of human, dog, cat, and sheep origin produced infections in jirds (4-10 weeks old). AJ-strain mice (6 weeks old) were insusceptible to Giardia from man, dog, and cat. The number of Giardia cysts inoculated per rodent ranged from 5000 to 12,600. The course of infection was studied in jirds experimentally infected with a Giardia isolate of cat origin. After administration of 6300 cysts to each of 16 jirds, 5 (31%) started to excrete cysts 4-5 days post inoculation (p.i.). Cyst excretion patterns were mostly intermittent, patency periods lasted 5-28 days, and average cyst numbers per g feces of individual jirds varied between 118,500 and 835,200 (maximal number: 3216700). The parasites were eliminated spontaneously in all 5 jirds. The Giardia isolate of cat origin was passaged 4 times in the jird. A Giardia isolate obtained from sheep was transferred in the cyst stage to jirds. Giardia trophozoites isolated from one of these jirds have been axenically cultivated in vitro in a modified, filter-sterilized TYI-S-33 culture medium and successfully cryopreserved. To our knowledge, this is the first report on axenic cultivation of Giardia of sheep origin. Giardia from cats could not be cultivated in vitro under the same conditions. The fact that Swiss Giardia isolates from humans and various domestic animals are not strictly host-specific is in agreement with similar findings from other areas and suggests a zoonotic character for giardiasis.(ABSTRACT TRUNCATED AT 250 WORDS)