Health Care Provider Information on Cryptosporidiosis (2024)

Contact Info

Infectious Disease Epidemiology, Prevention and Control Division

651-201-5414

Contact Info

Infectious Disease Epidemiology, Prevention and Control Division

651-201-5414

On this page:
Required Disease Reporting
Parasite Information
Clinical Features
Laboratory Diagnosis Treatment

Required Disease Reporting

Parasite Information

Clinical Features

  • Infection with Cryptosporidium spp. results in a wide range of manifestations, from asymptomatic infections to severe, life-threatening illness.
  • Watery diarrhea is the most frequent symptom and can be accompanied by abdominal cramps, fatigue, fever, vomiting, anorexia, and weight loss.
  • In immunocompetent persons, symptoms are usually short lived (1 to 2 weeks); they can be chronic and more severe in immunocompromised patients
  • While the small intestine is the site most commonly affected, symptomatic Cryptosporidium infections have also been found in other organs including other digestive tract organs, the lungs, and possibly conjunctiva.

Laboratory Diagnosis

  • Low positive predictive values have been observed when using rapid assays for the diagnosis of cryptosporidiosis. Even though rapid assays can be used as a screening test in higher prevalence populations, rapid-assay positive specimens should be confirmed with other methods. It is important that health care providers are aware of the limitations and proper use of rapid assays in the diagnosis of cryptosporidiosis and that they limit testing to patients who have symptoms characteristic of the disease.
  • Submission of clinical materials from positive Cryptosporidium specimens to the Minnesota Department of Health Laboratory (MDH-PHL) is required in accordance with state communicable disease rules. Additional testing of these submitted materials is performed at the MDH-PHL with the results being used to aid public health surveillance.
  • DPDx – Laboratory Identification of Parasitic Diseases of Public Health Concern: Stool Specimens
    CDC; Information about diagnostic procedures for stool specimens.

Treatment

  • Most people who have healthy immune systems will recover without treatment.
  • Diarrhea can be managed by drinking plenty of fluids to prevent dehydration.
  • Immunocompromised persons are at highest risk for severe illness.
  • In HIV infected patients, anti-retroviral therapy, which improves immune status, can reduce oocyst excretion and decrease diarrhea associated with cryptosporidiosis.
  • Nitazoxanide has been licensed by the Food and Drug Administration for the treatment of for all patients 1 year of age and older with diarrhea associated with cryptosporidiosis.
  • Parasites – Cryptosporidium (also known as “Crypto”): Treatment
    CDC; Information about the treatment of cryptosporidiosis.

Last Updated: 10/05/2022

Health Care Provider Information on Cryptosporidiosis (2024)

FAQs

Health Care Provider Information on Cryptosporidiosis? ›

How is cryptosporidiosis diagnosed? Your healthcare provider will look at a stool sample. Sometimes multiple stool samples (usually 3) will be needed since this parasite is found only intermittently in the stool. You will need special testing because tests for this disease are not routinely done in labs.

What is cryptosporidiosis patient info? ›

Cryptosporidiosis is a water- and food-borne zoonotic disease caused by the protozoon parasite of the genus Cryptosporidium. The disease can be transmitted by the faecal-oral route as well as the respiratory route. The infective stage (sporulated oocysts) is resistant to different disinfectants including chlorine. C.

What is the medical management of cryptosporidiosis? ›

Most people who have healthy immune systems will recover from cryptosporidiosis (typically diarrhea lasting days to weeks) without treatment. Nitazoxanide is a prescription medication to treat cryptosporidiosis in people with healthy immune systems and at least one year old.

Do I need to see a doctor for Cryptosporidium? ›

For advice and testing you will need to visit your doctor. The doctor may request a faecal specimen and give you a specimen jar, as a laboratory test may be needed. Currently there is no effective treatment for cryptosporidiosis. However, the doctor may prescribe medication to help relieve symptoms.

What is cryptosporidiosis information? ›

Cryptosporidiosis is a parasitic infection that commonly presents as gastroenteritis. Enteric symptoms usually include watery diarrhoea associated with cramping abdominal pain, dehydration, weight loss, fever, nausea and vomiting. The disease is usually mild and self-limiting (1–2 weeks).

What are the isolation precautions for Cryptosporidium? ›

Wash hands carefully and frequently with soap, especially after using the bathroom and changing diapers, and before handling or eating any food. Stay out of pools, splash pads, and lakes while sick. If diagnosed with cryptosporidiosis, do not swim for at least 2 weeks after diarrhea stops.

How long is Cryptosporidium contagious? ›

Cryptosporidiosis is spread though the feces (poop) of infected humans and animals. An infected person can shed Cryptosporidium once symptoms begin and for weeks after symptoms stop.

What is the first line treatment for Cryptosporidium? ›

Nitazoxanide is the only medication approved by the FDA for the treatment for cryptosporidiosis in adults and children older than 12 months. It is administered in a 3-day, twice-daily course of tablets or oral suspension.

How do you deal with Cryptosporidium? ›

There is no specific treatment for cryptosporidiosis. Most people with a healthy immune system will recover within one month. It's important to drink plenty of fluids as diarrhoea or vomiting can lead to dehydration and you can lose important sugars and minerals from your body.

What kills cryptosporidiosis? ›

Soak contaminated surfaces for 20 minutes with a 3% hydrogen peroxide (99% kill rate), and then rinse them thoroughly. No disinfectant is guaranteed to be completely effective against Cryptosporidium. However, hydrogen peroxide is more effective than standard bleach solutions.

How do doctors diagnose cryptosporidiosis? ›

When a patient has diarrhea caused by Cryptosporidium, diagnosis of cryptosporidiosis can be made by testing stool specimens. Because detection of Cryptosporidium can be difficult, patients might be asked to submit stool specimens over three days.

Can Cryptosporidium go away? ›

In most people, your immune system will fight off Cryptosporidium and the symptoms of cryptosporidiosis will go away. Medications may also help cure a Cryptosporidium infection. In someone with a compromised immune system, cryptosporidiosis may never be fully cured and can cause symptoms for years.

What is the best way to remove Cryptosporidium? ›

Boiling (Rolling boil for 1 minute) has a very high effectiveness in killing Cryptosporidium; Filtration has a high effectiveness in removing Cryptosporidium when using an absolute less than or equal to 1 micron filter (NSF Standard 53 or 58 rated “cyst reduction / removal” filter);

Is Cryptosporidium fatal? ›

Immunocompromised or immunosuppressed patients may not be able to recover from the disease even with treatment. They may experience dramatic cholera-like symptoms (explosive diarrhea and fluid loss) which can result in death.

What are the investigations for cryptosporidiosis? ›

Laboratory Criteria: • Confirmatory laboratory evidence: Evidence of Cryptosporidium organisms or DNA in stool, intestinal fluid, tissue samples, biopsy specimens, or other biological sample by certain specific laboratory methods with a high positive predictive value, including: • Direct fluorescent antibody (DFA) test ...

What are the complications of Cryptosporidium? ›

Complications can include malnutrition, growth delays, and cognitive impairment. Malnutrition also appears to increase the risk of infection. Cryptosporidiosis is associated with more chronic symptoms and higher mortality rates than other causes of diarrhea in childhood.

What are the first signs of Cryptosporidium? ›

Diarrhea, vomiting, stomach cramps, and weight loss are the most common symptoms. Dehydration is the main complication. People who have a healthy immune system usually recover without treatment. People with a weak immune system may get a more serious infection and need supportive medical care.

Is Cryptosporidium a virus or bacteria? ›

What is Cryptosporidium? Cryptosporidium is a parasite that causes a diarrheal illness called cryptosporidiosis (the parasite and the disease are often called “Crypto”). Crypto is a common waterborne illness and is the most common cause of recreational water illness in the United States.

What color is Cryptosporidium poop? ›

oocysts can be variable. In particular, infections that are resolving can be accompanied by increasing numbers of non-acid-fast oocysts “ghosts.” Figure A: Cryptosporidium parvum oocysts stained with modified acid-fast. Against a blue-green background, the oocysts stand out in a bright red stain.

What kills Cryptosporidium? ›

Cryptosporidium is resistant to chlorine disinfection so it is tougher to kill than most disease-causing germs. The usual disinfectants, including most commonly used bleach solutions, have little effect on the parasite. An application of hydrogen peroxide seems to work best.

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