Intestinal Protozoan Parasites (Online CE Course)

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Author: Margaret Reinhart, MS, MT(ASCP) Reviewers: Diane M. Valentin, MS, MT(ASCP)MB and Rory Huschka, M.Ed., MT(ASCP)

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This course is intended as a survey or overview of the protozoa (protista) that can be found in the human intestinal tract, and how to diagnose them. A brief introduction of each parasite, including its epidemiology and life cycle will be given. The emphasis will then be on key diagnostic features.

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Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 1 hour(s)
Approved through 4/30/2025
Florida Board of Clinical Laboratory Personnel Credit Hours - General (Microbiology/Mycology/Parasitology): 1 hour(s)
Approved through 4/30/2025

Objectives

  • Recall and briefly describe each of the commonly found protozoan parasites found in human feces.
  • Describe how a patient gets infected by each parasite.
  • Identify microscopic images of each parasite based on key diagnostic criteria.
  • Differentiate those protozoa that are capable of causing disease from those which are commensal.
  • Describe other (besides microscopy) diagnostic tests which can be used for the detection and identification of some of the commonly found parasites.

Customer Ratings

(based on 263 customer ratings)

Course Outline

Click on the links below to preview selected pages from this course.
  • Introduction to the Intestinal Parasitic Protozoa
  • Overview of Diagnostic Techniques
      • Types of Diagnostic Techniques
      • Collection and Processing for Performing the Microscopic Exam
      • Collection and Processing for Performing the Microscopic Exam cont'd - Fixatives
      • Concentration Techniques
      • How to Perform the Microscopic Exam
      • Entero-Test (Duodenal Capsule)
      • Molecular Methods
      • Antigen and Antibody Detection
      • Suggested Protocols for Parasite Recovery
      • A direct wet prep for the examination of stool specimens for ova and parasites is a preferred method for parasite detection and identification.
      • All of the following are stains that can be used on permanent smears for protozoa except:
  • Life Cycles, Epidemiology, Diseases, and Diagnosis of the Amoebae
      • Pathogenic vs. Commensal Amoebae
      • Entamoeba histolytica Life Cycle
      • Entamoeba histolytica Epidemiology and Disease
      • Differentiating E. histolytica Trophozoites from the Commensal Amoeba Trophs
      • Differentiating E. histolytica Cysts from the Commensal Amoeba Cysts
      • Other Diagnostic Techniques for Entamoeba histolytica
      • Match the amoeba species with whether it is pathogenic or commensal.
      • People become infected with Entamoeba histolytica by consuming food contaminated (usually of human fecal origin) with trophozoites of the organism.
      • A MLS is puzzled when she finds cysts resembling either E. histolytica or E. hartmanni. A way of distinguishing Entamoeba histolytica cysts from cysts...
      • Common methods of detecting pathogenic gastrointestinal infection with Entamoeba histolytica include all of the following except:
  • Life Cycles, Epidemiology, Diseases, and Diagnosis of the Flagellates
      • Pathogenic vs. Commensal Flagellates
      • Giardia and Dientamoeba Life Cycles
      • Giardia and Dientamoeba Epidemiology and Disease
      • Differentiating Giardia and Dientamoeba Trophozoites from the Commensal Flagellated Trophs
      • Differentiating Giardia and Dientamoeba Cysts from those of the Commensal Flagellates
      • Other Diagnostic Techniques for Giardia and Dientamoeba
      • A physician suspects that a patient may be infected with Giardia and orders an O&P exam. Examination of a trichrome stained smear on the loose sto...
      • Match the trophozoite to the image from a trichrome stained smear.
      • The best methods for diagnosing G. duodenalis trophozoites include: (choose all that apply)
  • Life Cycle, Epidemiology, Disease, and Diagnosis of the Ciliate, Balantidium coli
  • Other intestinal Protists: Blastocystis and the Sporozoa (phylum Apicomplexa), and Microsporidia
      • Blastocystis spp: Epidemiology, Disease, and Life Cycle
      • Blastocystis Diagnosis
      • The Intestinal Sporozoa: Cryptosporidium spp., Cyclospora cayetanensis, Cystoisospora belli and Sarcocystis spp.
      • Cryptosporidium spp.
      • Cyclospora cayetanensis
      • Cystoisospora belli (formerly Isospora belli)
      • Sarcocystis spp.
      • Microsporidia
      • Summary of the Morphologic Features of Blastocystis, Sporozoa and Microsporidia
      • The sporozoa are characterized by all of the following except:
      • A laboratorian performs an acid-fast stain on a fecal smear and finds several round, acid fast structures measuring 8-10 μm. The most likely diag...
      • The organisms belonging to the Microsporidia group have an obligate extracellular phase of development.
  • References

Additional Information

Level of Instruction:  Intermediate to Advanced
Intended Audience: Medical laboratory scientists, medical laboratory technicians, pathology residents, MLS students, and other health care personnel who have an interest in this subject matter.
Author Information: Margaret Reinhart, MS, MLS(ASCP) is a Senior Lecturer emerita in Biological Sciences at the University of the Sciences in Philadelphia PA where she taught hematology, clinical immunology, parasitology, and other related courses, as well as directed the MLS program for over 30 years. She is currently adjunct instructor in Hematology at Pennsylvania Hospital, Philadelphia PA.  She holds a Masters Degree in Biology and in Health Care Administration.
Reviewer Information:  
Diane M. Valentin, MS, MT(ASCP)MB is Ms. Valentin is a graduate of University of the Sciences in Philadelphia. Ms. Valentin is a graduate of University of the Sciences in Philadelphia (MT ’99) who has been working as a medical laboratory professional since her graduation. She also has earned a master’s of science degree in Biomedical Informatics, focusing in Bioinformatics, from Rutgers University and a certificate in Molecular Laboratory Diagnostics from Michigan State University. She holds two certifications by the American Society of Clinical Pathology (ASCP): Medical Technologist and Technologist in Molecular Biology.
Rory Huschka, M. Ed., MT(ASCP), has over 20 years of combined experience as a medical technologist, technical supervisor, professor, and manager. He is the former Director of Clinical Laboratory Science and Medical Laboratory Technician Programs at Brookline College. He is currently a Program Director at MediaLab, Inc. Rory holds a BS degree in Medical Technology from North Dakota State University and a Masters in Educational Leadership.

How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 183 CE courses, most popular
$109Add to cart
Pick Your Courses
Up to 8 CE hours
$55Add to cart
Individual course$25Add to cart
Giardia life cycle (19).


Wet mounts of four common forms of Blastocystis hominis (33).


Sporulated oocyst of Sarcocystis sp. in a wet mount viewed under UV microscopy, magnification 400x (41).


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E. histolytica life cycle (6).


Trichrome smear of a B. hominis cyst (34).


Entamoeba coli cysts