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Collection of Fresh Stool Specimens

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Stool specimens should always be collected before barium is used for radiological examination. Specimens containing barium are unacceptable for processing and examination, and intestinal protozoa may be undetectable for 5 to 10 days after barium is given to the patient. Certain substances and medications also interfere with the detection of intestinal protozoa; these include mineral oil, bismuth, antibiotics, antimalarial agents, and nonabsorbable antidiarrheal preparations. After administration of any of these compounds, parasites may not be recovered for one to several weeks. After the administration of barium or antibiotics, specimen collection should be delayed for 5 to 10 days or at least 2 weeks, respectively.

Practical Guide to Diagnostic Parasitology

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