Blastocystis hominis infection

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Treatments and drugs

By Mayo Clinic staff

If you have blastocystis without signs or symptoms, then you don't need treatment. Mild signs and symptoms may improve on their own within a few days.

Potential medications for treating blastocystis infection include the antibiotic metronidazole (Flagyl), the combination medication sulfamethoxazole and trimethoprim (Bactrim, Septra, others), and the antiprotozoal medications iodoquinol (Yodoxin) or nitazoxanide (Alinia). However, keep in mind that response to medication for blastocystis infection varies greatly from person to person. And, because the symptoms you're having might be unrelated to blastocystis, it's also possible that any improvement may be due to the medication's effect on another organism.

References
  1. Coyle CM, et al. Blastocystis: To treat or not to treat... Clinical Practice. 2012;54:105.
  2. Blastocystis spp. Frequently asked questions. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/blastocystis/faqs.html. Accessed Oct. 5, 2012.
  3. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed Oct. 5, 2012.
  4. Zhang X, et al. In vitro culture of Blastocystis hominis in three liquid media and its usefulness in the diagnosis of blastocystosis. International Journal of Infectious Diseases. In press. Accessed Oct. 5, 2012.
  5. Leder K, et al. Blastocystis species. www.uptodate.com/index. Accessed Oct. 5, 2012.
  6. Oral rehydration solutions: Made at home. Rehydration Project. http://rehydrate.org/solutions/homemade.htm. Accessed Oct. 5, 2012.
  7. Travelers' diarrhea. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/travelersdiarrhea_g.htm. Accessed Oct. 5, 2012.
  8. Backer HD. Water disinfection for travelers. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-2-the-pre-travel-consultation/water-disinfection-for-travelers.htm. Accessed Oct. 6, 2012.
  9. Watson JC, et al. Food and water precautions. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-2-the-pre-travel-consultation/food-and-water-precautions.htm. Accessed Oct. 6, 2012.
  10. Handwashing: Clean hands save lives. Centers for Disease Control and Prevention. http://www.cdc.gov/handwashing/. Accessed Oct. 6, 2012.
  11. Steckelberg JM (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 24, 2012.
DS00791 Jan. 25, 2013

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