Open research questions in Parasitic Infections and Diagnostics
102 gap statements mined from Parasitic Infections and Diagnostics papers in our 4.5M-paper local library, which holds 629 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Despite the growing recognition of climate change as a dominant driver across various ecosystems, the specific impacts on AZP remain underexplored, and further research is needed to unravel the nuanced relationships between climate factors, parasite life cycles, host–parasite interactions and transmission patterns.
The clinical outcome and pathogen shedding patterns in calves experimentally infected with C. parvum and/or bovine coronavirus are not well understood.
Cryptosporidium parvum and bovine coronavirus in naturally and experimentally exposed calves: clinical outcome and pathogen shedding · 2026 · DOIThe lack of effective treatment for cryptosporidiosis. The limited understanding of the genomic heterogeneity of Cryptosporidium and its relation to drug resistance.
Genomic heterogeneity of NAD(P)H dehydrogenase predisposes Cryptosporidium to clofazimine resistance · 2026 · DOIKnowledge about the epidemiology of Cryptosporidium and Giardia in Africa remains limited. There is a need for further research on the transmission and control of these parasites in developing countries.
The lack of understanding of the prevalence and risk factors of intestinal parasites in shelter dogs in North Macedonia. The need for standardized deworming protocols and One Health strategies to mitigate zoonotic risks.
Prevalence, Risk Factors, and Zoonotic Potential of Intestinal Parasites in Shelter Dogs in North Macedonia: A Cross-Sectional Study · 2026 · DOIThere is a lack of studies on Cryptosporidium infections in pet birds. There is a need for molecular diagnostics for accurate identification and clinical management.
Clinical cases of Cryptosporidium spp. infections in parrots, canaries and pigeons confirmed by molecular and immunochromatographic methods · 2026 · DOIThere is a lack of studies assessing the prevalence and shedding of various parasites in the New York urban landscape. There is a need to understand and mitigate zoonotic risks at the human-animal-environment interface.
Zoonotic endoparasites and Toxoplasma gondii seropositivity in free-roaming cats (Felis catus) from New York City boroughs · 2026 · DOIThere is a lack of studies on the prevalence of Giardia spp. in cats without diarrhea. There is a need to evaluate the agreement between different diagnostic techniques.
High prevalence of Giardia spp. in cats without diarrhea and agreement between diagnostic techniques in the municipality of Londrina, Paraná, Brazil · 2026 · DOIThe epidemiology of this coccidian parasite remained largely understudied in India, with only a few studies investigating its prevalence.
This systematic review has some limitations that should be considered when interpreting its findings. First, substantial methodological heterogeneity was observed among the included studies, including differences in study design, sampling strategies, host populations, diagnostic techniques, molecular targets, and reporting formats.
Giardia spp. in Brazil at human–animal–environment interfaces: a systematic review from a One Health perspective · 2026 · DOICollecting and analyzing intestinal contents from wild rodents can be challenging. Identifying the species and genotypes of Cryptosporidium, Giardia duodenalis, and Enterocytozoon bieneusi requires specialized molecular biology techniques. The study had to overcome the challenge of detecting these pathogens in a region with scarce epidemiological data.
Emergence of zoonotic Cryptosporidium, Giardia duodenalis and Enterocytozoon bieneusi in wild rodent from Yunnan: first detection of C. parvum IIdA24G1 in wild rodents in China · 2026 · DOIThe study had a relatively small sample size. The biomarker data showed departures from normality. There is a need to further characterize the systemic immune response associated with canine giardiasis.
Serum IgE, IL-4 and IL-13 Concentrations as Th2-Associated Biomarkers in Canine Giardiasis · 2026 · DOIThe systemic immune response associated with canine giardiasis remains incompletely characterized. There is a need to evaluate serum concentrations of IgE, IL-4, and IL-13 as Th2-associated immune markers in naturally infected dogs.
Serum IgE, IL-4 and IL-13 Concentrations as Th2-Associated Biomarkers in Canine Giardiasis · 2026 · DOIIntestinal protozoan infections remain a significant public health challenge in resource-limited Pacific Island settings, yet molecular epidemiological data for the Republic of the Marshall Islands (RMI) are scarce.
High burden of intestinal protozoan infections revealed by molecular diagnostics among schoolchildren in the Marshall Islands: species diversity, genotyping, and risk factors · 2026 · DOITheir detection in dairy matrices remains challenging due to the lack of standardized analytical protocols and the limited sensitivity of conventional diagnostic methods.
Adaptation and validation of a droplet digital PCR assay for the detection of Cryptosporidium spp. and Giardia duodenalis in buffalo milk · 2026 · DOIThe lack of traditional methods of tryptophan synthesis in Blastocystis may affect indole uptake regulation. The conversion of indole to other indolic compounds, such as indole-3-acetaldehyde, may affect assay results.
The mechanisms by which Blastocystis influences serotonin synthesis and behavior are not well understood. The effects of Blastocystis infection on gut-brain axis dysfunction are unclear.
Although previous studies have reported immune dysfunction of Natural Killer (NK) cells due to other inhibitory receptors in AE, limited research has been conducted on the role of Natural Killer cell protein Group 2-A (NKG2A) in human NK cells.
Blocking NKG2A in Echinococcus multilocularis infection partially relieves impairment of NK cell function of the host · 2025 · DOILimited access to supportive and symptomatic healthcare. High infant mortality and marked nutritional impairment.
The study only examined the association between parasitic infections and HIV status, without investigating the underlying mechanisms. The sample size was limited to 2000 participants. The study only focused on certain types of parasites.
ASSOCIATION OF PARASITE INFECTED HIV/AIDS PATIENTS WITH 〖CD〗_4^+ COUNT IN BENIN CITY, NIGERIA. · 2026 · DOIInborn Errors of Immunity (IEI) display increased susceptibility to infections among which cryptosporidiosis is an opportunistic infection poorly characterized in this population.
Cryptosporidiosis in Patients With Inborn Errors of Immunity: Retrospective Cohort Study of the French National Reference Center (CEREDIH) · 2026 · DOIThese patterns vary widely due to regional differences in socioeconomic status of farmers, geo-climatic conditions and animal husbandry practices (21).
Status of cryptosporidiosis in cattle raised by marginalized nomadic communities of Southern Punjab, Pakistan: an observational study · 2026 · DOIHigh population density and limited resources in shelter environments, - Zoonotic potential of certain parasites, - Regional variations in infection…
Prevalence, Risk Factors, and Zoonotic Potential of Intestinal Parasites in Shelter Dogs in North Macedonia: A Cross-Sectional Study · 2026 · DOIInvestigating the underlying mechanisms of the association between parasitic infections and HIV status. Examining the relationship between parasitic infections and HIV/AIDS in different populations. Developing diagnostic tools for HIV/AIDS based on the findings of this study.
ASSOCIATION OF PARASITE INFECTED HIV/AIDS PATIENTS WITH 〖CD〗_4^+ COUNT IN BENIN CITY, NIGERIA. · 2026 · DOIThe study had a limited sample size of 150 stool samples, - Only 30 stool samples were selected for molecular analysis, - The study did not investigate the symptoms or clinical manifestations of Cryptosporidium infection in the sand…
First microscopic and molecular identification of Cryptosporidium spp. in fat sand rats (Psammomys obesus) in Egypt and their potential zoonotic implications · 2025 · DOI
Most-cited papers in Parasitic Infections and Diagnostics
- Taxonomy and molecular epidemiology of Cryptosporidium and Giardia – a 50 year perspective (1971–2021) · International Journal for Parasitology · 2021 · 357 citations
- Effects of Cryptosporidium parvum Infection in Peruvian Children: Growth Faltering and Subsequent Catch-up Growth · American Journal of Epidemiology · 1998 · 253 citations
- Microsporidiosis in Humans · Clinical Microbiology Reviews · 2021 · 239 citations
- An Update on Zoonotic Cryptosporidium Species and Genotypes in Humans · Animals · 2021 · 220 citations
- Giardia duodenalis: Biology and Pathogenesis · Clinical Microbiology Reviews · 2021 · 192 citations
- Asymptomatic and Symptomatic Cryptosporidiosis: Their Acute Effect on Weight Gain in Peruvian Children · American Journal of Epidemiology · 1997 · 178 citations
- ENVIRONMENTAL ECOLOGY OF CRYPTOSPORIDIUM AND PUBLIC HEALTH IMPLICATIONS · Annual Review of Public Health · 1997 · 144 citations
- Cryptosporidiosis Outbreaks — United States, 2009–2017 · MMWR Morbidity and Mortality Weekly Report · 2019 · 128 citations
- Strongyloides stercoralis infection in former Far East prisoners of war. · BMJ · 1979 · 90 citations
- Blastocystis: A Mysterious Member of the Gut Microbiome · Microorganisms · 2024 · 79 citations
Most recent work
- PCR-based detection of Enterocytozoon bieneusi in diarrheic patients from Guangdong, Shandong, Shanghai, and Zhejiang Provinces, China: a study on prevalence and genotypic characteristics · Frontiers in Cellular and Infection Microbiology · 2026
- Large-scale molecular epidemiological survey of Giardia and Cryptosporidium in Victoria, Australia (2020–2024), reveals novel subtypes and outbreak-associated lineages · Journal of Clinical Microbiology · 2026
- Argonautes and small RNAs associated with nematode programmed DNA elimination · bioRxiv · 2026
- Cryptosporidium within a One health framework: a comprehensive review of public health impact, environmental concerns, and emerging strategies for prevention and treatment · Frontiers in Veterinary Science · 2026
- Population structure and zoonotic potential of Cryptosporidium parvum in Italy inferred using a multi-locus sequence typing scheme · Parasites & Vectors · 2026
- A First-in-Human Phase 1 Clinical Study in Healthy Volunteers to Assess the Safety, Tolerability, and Pharmacokinetics of EDI048, a Novel Promising Agent to Treat Enteric Cryptosporidiosis · The Journal of Infectious Diseases · 2026
- Cryptosporidium parvum Outbreak Among Volunteers of a Licensed Wildlife Rehabilitation Center Housing Raccoons, 2024 · The Journal of Infectious Diseases · 2026
- Lower prevalence of Blastocystis spp. and Dientamoeba fragilis in ulcerative colitis and association with disease activity · European Journal of Clinical Microbiology & Infectious Diseases · 2026
- Drivers of aquatic zoosporic parasites in natural and artificial environments · Aquatic Sciences · 2026
- Genomic heterogeneity of NAD(P)H dehydrogenase predisposes Cryptosporidium to clofazimine resistance · Nature Microbiology · 2026
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