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 DrugRecommended DoseRecommended Duration
None

Symptomatic

Recommended DrugRecommended DoseRecommended Duration
MetronidazoleAdult: 750mg PO tid10 days
Paediatric: 35-50mg/kg/d PO div tid10 days
or
IodoquinolAdult: 650mg PO tid20 days
Paediatric: 40mg/kg/d PO div tid (max 650mg/dose)20 days
or
TMP/SMXAdult: 1 DS tab PO bid7 days
Paediatric: 6mg/kg/d TMP PO div bid7 days
or
NitazoxanideAdult: 500mg PO bid3 days
Paediatric: 1-3 yo - 100mg PO bid3 days
Paediatric: 4-11 yo - 200mg PO bid3 days

yo = years old