Prevalence and genetic diversity of Blastocystis sp. among autochthonous and immigrant patients in Italy.

Microb Pathog

Department of Clinical and Experimental Medicine, University of Foggia, Viale Luigi Pinto, 71122, Foggia, Italy; Microbiology and Virology Unit, Ospedali Riuniti, Viale Luigi Pinto, 71122, Foggia, Italy. Electronic address:

Published: December 2023

AI Article Synopsis

  • A study conducted in Southern Italy from February 2022 to June 2023 examined the prevalence and genetic diversity of Blastocystis sp. among hospitalized patients with gastrointestinal symptoms, finding that 3.9% tested positive.
  • The research revealed a significant link between positivity rates and patients of African origin, particularly those over 18 years old, while identifying different subtypes of the pathogen among local and immigrant patients.
  • Additionally, it was noted that 33% of the positive cases had co-infections with other pathogens such as Giardia duodenalis and Clostridioides difficile, highlighting the need for further exploration of the interactions between these infections and Blastocystis sp. in diverse patient populations.

Article Abstract

The prevalence of Blastocystis sp., its genetic diversity and the distribution of circulating subtypes (STs) were molecularly investigated in a cohort of autochthonous and immigrant patients with gastrointestinal symptoms hospitalized over the period February 2022-June 2023 at the Policlinico Ospedaliero-Universitario "Riuniti", Foggia, in Southern Italy. The population variables, including patient geographical origin, gender and age classes were reported. Out of the 927 investigated patients, 36 (3.9%) were positive for Blastocystis sp. A statistically significant association with African origin and age classes >18 years old was found. ST1 (allele 4), ST2 (alleles 9, 13), ST3 (alleles 34, 36) and ST4 (allele 92) were the subtypes detected with a different distribution between autochthonous and immigrant patients. Co-infections with enteric protozoa such as Giardia duodenalis and Dientamoeba fragilis, pathogenic bacteria as Clostridioides difficile, Campylobacter jejuni and Aeromonas sp. and viral infections such as Norovirus were found in 33% of cases. This is the first study of Blastocystis sp., its circulating subtypes and allele variability among patients with different geographical origin in an area of Southern Italy, in the Central Mediterranean, characterized by high immigrant pressure. These results provide baseline data to better investigate a potential interaction between Blastocystis sp. and other risk factors in patients with gastrointestinal symptoms.

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http://dx.doi.org/10.1016/j.micpath.2023.106377DOI Listing

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Prevalence and genetic diversity of Blastocystis sp. among autochthonous and immigrant patients in Italy.

Microb Pathog

December 2023

Department of Clinical and Experimental Medicine, University of Foggia, Viale Luigi Pinto, 71122, Foggia, Italy; Microbiology and Virology Unit, Ospedali Riuniti, Viale Luigi Pinto, 71122, Foggia, Italy. Electronic address:

Article Synopsis
  • A study conducted in Southern Italy from February 2022 to June 2023 examined the prevalence and genetic diversity of Blastocystis sp. among hospitalized patients with gastrointestinal symptoms, finding that 3.9% tested positive.
  • The research revealed a significant link between positivity rates and patients of African origin, particularly those over 18 years old, while identifying different subtypes of the pathogen among local and immigrant patients.
  • Additionally, it was noted that 33% of the positive cases had co-infections with other pathogens such as Giardia duodenalis and Clostridioides difficile, highlighting the need for further exploration of the interactions between these infections and Blastocystis sp. in diverse patient populations.
View Article and Find Full Text PDF

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