Self-management

Prevention

You may be able to prevent blastocystis or other gastrointestinal infection by taking a number of precautions while traveling in high-risk countries.

Watch what you eat

The general rule of thumb is this: If you can't boil it, cook it or peel it — forget it. Try to remember these more-specific tips:

  • Avoid food from street vendors.
  • Avoid unpasteurized milk and dairy products, including ice cream.
  • Avoid raw or undercooked meat, fish and shellfish.
  • Steer clear of moist food at room temperature, such as sauces and buffet offerings.
  • Eat foods that are well-cooked and served hot.
  • Stick to fruits and vegetables that you can peel yourself, such as bananas, oranges and avocados. Stay away from salads and unpeelable fruits, such as grapes and berries.
  • Avoid frozen pops and flavored ice.
  • Skip salsa and other condiments made with fresh ingredients.

Don't drink the water

When visiting high-risk countries, keep the following tips in mind:

  • Avoid unsterilized water — from tap, well or stream. If you need to consume local water, boil it for at least three minutes and then let it cool to room temperature.
  • Avoid ice cubes or fruit juices made with tap water.
  • Beware of sliced fruit that may have been washed in contaminated water.
  • Don't swim in water that may be contaminated.
  • Keep your mouth closed while showering.
  • Feel free to drink canned or bottled drinks in their original containers — including water, carbonated beverages, beer or wine — as long as you break the seals on the containers yourself. Wipe off any can or bottle before drinking or pouring.
  • Use bottled water to brush your teeth.
  • Use bottled or boiled water to mix baby formula.
  • Make sure hot beverages, such as coffee or tea, are steaming hot.

If it's not possible to buy bottled water or boil your water, bring some means to purify water: Look for filters that advertise the Environmental Protection Agency (EPA) designation of water purifier. Although the EPA doesn't independently verify these filters, the designation means they are supposed to filter hundreds of bacteria, viruses and parasites.

Another approach is to chemically disinfect water with iodine or chlorine. Iodine tends to be more effective, but reserve it for short trips, because too much iodine can be harmful to your body.

Take precautions against passing a parasite to others

If you have blastocystis or another gastrointestinal infection, good personal hygiene can help keep you from spreading the infection to others:

  • Wash hands with soap and water frequently, especially after using the toilet and before handling food. Rub soapy, wet hands together for at least 20 seconds before rinsing. If soap and water aren't available, use an alcohol-based hand sanitizer.
  • Wash hands well after changing a diaper, especially if you work in a child care center, even if you wear gloves.
Jan. 07, 2016
References
  1. Leder K, et al. Blastocystis species. http://www.uptodate.com/home. Accessed Oct. 31, 2015.
  2. Longo DL, et al., eds. Protozoal infections. In: Harrison's Principles of Internal Medicine. 19th ed. New York, N.Y.: The McGraw-Hill Companies; 2015. http://accessmedicine.com. Accessed Oct. 31, 2015.
  3. Turkeltaub JA, et al. The intestinal protozoa: Emerging impact on global health and development. Current Opinion in Gastroenterology. 2015;31:38.
  4. Feldman M, et al. Intestinal protozoa. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Oct. 31, 2015.
  5. Oral rehydration solutions: Made at home. Rehydration Project. http://rehydrate.org/solutions/homemade.htm. Accessed Nov. 1, 2015.
  6. Food and water safety. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/page/food-water-safety. Accessed Nov. 1, 2015.
  7. Backer HD. Water disinfection for travelers. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2016/the-pre-travel-consultation/water-disinfection-for-travelers. Accessed Nov. 1, 2015.
  8. Watson JC, et al. Food and water precautions. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2016/the-pre-travel-consultation/food-water-precautions. Accessed Nov. 1, 2015.
  9. Handwashing: Clean hands save lives. Centers for Disease Control and Prevention. http://www.cdc.gov/handwashing/when-how-handwashing.html. Accessed Nov. 1, 2015.