Blastocystis spp (B. hominis)
Blastocystis hominis is comprised of a number of different subtypes with varying degrees of pathogenicity.
Treatment recommended if symptomatic and other causes (infectious/non-infectious) of diarrhea have been excluded.
Little data available on optimal therapy.
Symptoms
- diarrhea
- abdominal pain and cramping
- nausea
Asymptomatic
| Recommended Drug | Recommended Dose | Recommended Duration |
|---|---|---|
| None |
Symptomatic
| Recommended Drug | Recommended Dose | Recommended Duration |
|---|---|---|
| Metronidazole | Adult: 750mg PO tid | 10 days |
| Paediatric: 35-50mg/kg/d PO div tid | 10 days | |
| or | ||
| Iodoquinol | Adult: 650mg PO tid | 20 days |
| Paediatric: 40mg/kg/d PO div tid (max 650mg/dose) | 20 days | |
| or | ||
| TMP/SMX | Adult: 1 DS tab PO bid | 7 days |
| Paediatric: 6mg/kg/d TMP PO div bid | 7 days | |
| or | ||
| Nitazoxanide | Adult: 500mg PO bid | 3 days |
| Paediatric: 1-3 yo - 100mg PO bid | 3 days | |
| Paediatric: 4-11 yo - 200mg PO bid | 3 days |
yo = years old