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All Journal International Journal of Public Health Science (IJPHS) Jurnal Sain Veteriner Jurnal Kesehatan Lingkungan indonesia e-Journal Pustaka Kesehatan Althea Medical Journal Majalah Geografi Indonesia Jurnal Kesehatan Jurnal Kesehatan Andalas Damianus Journal of Medicine Journal of Agromedicine and Medical Sciences Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) The Indonesian Journal of Occupational Safety and Health UNEJ e-Proceeding Journal Of Vocational Health Studies Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Window of Health : Jurnal Kesehatan Al-sihah: The Public Health Science Journal Jurnal Medik Veteriner Hearty : Jurnal Kesehatan Masyarakat J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Journal of Health Sciences ARTERI : Jurnal Ilmu Kesehatan JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH MAHESA : Malahayati Health Student Journal Solo Journal of Anesthesi, Pain and Critical Care JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Berita Kedokteran Masyarakat Jember Medical Journal (JMJ) Indonesian Journal of Biomedicine and Clinical Sciences Journal of Agropharmacy Folia Medica Indonesiana
Wiwien Sugih Utami
Department Of Parasitology, Faculty Of Medicine, Universitas Of Jember, Jember 68121, Indonesia
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Earth & Planetary Sciences Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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High Toxoplasmosis Seroprevalence and Anemia Among Early-Mid Pregnant Women in Jember, Indonesia Wulandari, Lindi Priyantika Tri; Armiyanti, Yunita; Aziz, Ayu Munawaroh; Hermansyah, Bagus; Sulistyaningsih, Erma; Utami, Wiwien Sugih
Journal of Community Medicine and Public Health Research Vol. 6 No. 2 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i2.68484

Abstract

Toxoplasmosis is an infection caused by the parasite Toxoplasma gondii, which can be transmitted through various routes. Toxoplasmosis in pregnant women may cause abortion and fetal disabilities. Decreased body immunity due to anemia can increase the risk of toxoplasmosis during pregnancy. The purpose of this study was to identify the characteristics of pregnant women and their association with anemia, determine the prevalence of anemia and toxoplasmosis infection in pregnant women, and investigate whether anemia is a risk factor for toxoplasmosis in pregnant women. This research is an analytical, observational study using a cross-sectional laboratory examination. The sample in this study consisted of blood collected from first- and second-trimester pregnant women at the Kaliwates and Banjarsengon Public Health Centers for hemoglobin analysis and toxoplasmosis serology. Accidental sampling was conducted from July to December 2024. The research data were presented in tabular form and analyzed using the Chi-square test. This study was conducted on 65 pregnant women. The number of pregnant women with anemia was 43% and the number of pregnant women who were positive for toxoplasmosis was 66%. A significant association exists between gestational age and anemia (p-value = 0,041). Bivariate analysis between anemia and T. gondii infection showed no significant association (p-value = 0.182). This study concludes that anemia is not proven to be a risk factor for toxoplasmosis infection in pregnant women. However, the cases of anemia and toxoplasmosis were high and require specific attention.
Combination Therapy for Cryptosporidiosis in Immunocompromised Patients: A Systematic Review Utami, Wiwien Sugih; Rozaq, M.S. Irham; Indreswari, Laksmi; Abrori, Cholis; Hermansyah, Bagus
Folia Medica Indonesiana Vol. 60, No. 4
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cryptosporidium sp. is a gastroenteritis-causing pathogen that may increase mortality and morbidity in immunocompromised patients. Diarrhea is a common problem among acquired immunodeficiency syndrome (AIDS) patients, with 30–60% of patients in developed countries and 90% in developing countries affected. The prevalence of cryptosporidiosis is 3–5% of the global population, with 14.42% of those affected being immunocompromised. There is currently no vaccine available to prevent cryptosporidiosis, while nitazoxanide monotherapy is ineffective in eradicating the organism in immunocompromised hosts and malnourished children. This study aimed to determine the most effective combination therapy for cryptosporidiosis in immunocompromised patients. This study used a systematic review design and implemented eligibility criteria for the literature search across PubMed, ScienceDirect, Epistemonikos, Google Scholar, Nature, Springer, and John Wiley databases. The search utilized specific keywords and Boolean operators, i.e., “Cryptosporidium,” OR “cryptosporidiosis,” AND “combination therapy,” OR “combination treatment,” AND “immunocompromised.” Two cohort studies and two case reports were selected, three of which used a nitazoxanide and azithromycin combination as the intervention, whereas only one cohort study used a nitazoxanide and fluoroquinolone combination. The studies comprised 54 samples from post-kidney transplantation patients and one sample from an acute lymphoblastic leukemia (ALL) patient. The nitazoxanide and fluoroquinolone combination showed superior outcomes than the nitazoxanide and azithromycin combination. The stool clearance was significantly lower with nitazoxanide monotherapy than the nitazoxanide and fluoroquinolone combination (OR=0.65, 95% CI=0.34–0.92, p=0.01). However, it was non-significantly lower with the nitazoxanide and azithromycin combination compared to monotherapy (OR=0.27, 95% CI=0.01–5.77, p=0.24). Nitazoxanide monotherapy exerted a significantly lower effect than the nitazoxanide and fluoroquinolone combination in stopping diarrhea symptoms (OR=0.45, 95% CI=0.21–0.81, p=0.004). In conclusion, a combination therapy using nitazoxanide and fluoroquinolone for cryptosporidiosis in immunocompromised patients offers more favorable outcomes compared to monotherapy, particularly in stopping diarrhea and enhancing stool clearance.
Effect of micronutrient deficiency on protozoal infection in stunting toddler Utami, Wiwien Sugih; Ramadanti, Novi Awalia; Rachmawati, Dwita Aryadina; Ratnawati, Leersia Yusi; Armiyanti, Yunita; Hermansyah, Bagus
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).233-241

Abstract

Background: Stunting is a developmental disorder caused by chronic inadequate nutritional intake in toddlers, leading to deficiencies in various nutrients, including iron and zinc. This can weaken toddlers' immunity, making them more vulnerable to infectious diseases, such as intestinal protozoa. An infected digestive tract can interfere with absorbing nutrients and reduce appetite, causing the infection to persist and become chronic. Chronic infection triggers the formation of pro-inflammatory cytokines that affect bone growth, hindering growth and causing stunting.Objectives: This study confidently investigates the correlation between iron and zinc micronutrient intake and intestinal protozoan infection in stunting toddlers in Jember District.Methods: The research is observational and cross-sectional, with 568 stunting toddlers aged 0-59 months in Jember District, East Java as study subjects. Iron and zinc intake were collected through 2x24-hour food-recall questionnaire interview and processed using the Nutrisurvey software. Protozoan infection status in toddler feces samples was identified using direct smear and modified Ziehl-Neelsen methods. The data analysis method chosen was the Spearman correlation test.Results: The study found that stunted toddlers in Jember District had mostly deficient micronutrient intake. The average iron intake is 2.56±3.06 mg and the average zinc intake is 1.8±1.47 mg. Protozoan infection was found in this study has a prevalence of 15.7%, with identified species including Entamoeba histolytica (3.3%), Giardia lamblia (2.6%), Cryptosporidium parvum (3.2%), Blastocystis hominis (5.3%), and mixed infections (1.2%). The statistical analysis confirms that there is no significant correlation between the intake of micronutrients iron (p=0.91;r=0.005) and zinc (p=0.76;r=0.013) and intestinal protozoan infection in stunting toddlers in Jember District.Conclusions: Based on the data, protozoan infection may be caused by multiple factors, such as parenting practices and family socioeconomics. However, improving nutrition by education and giving additional supplementation are crucial to reduce the prevalence of malnutrition in toddlers.
Spatial Map Of Hygiene Risk And Infection Of Soil-Transmitted Helminths In Stunting Toddlers In Kaliwates Yunita Armiyanti; Dimas Aji Bimantara; Azham Purwandhono; Achmad Maududie; Wiwien Sugih Utami; Bagus Hermansyah
Window of Health : Jurnal Kesehatan Vol 9 No 1 (January 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2595

Abstract

Soil-transmitted helminths remain major neglected tropical infections affecting approximately 24% of the global population, particularly in areas with poor sanitation and hygiene. Chronic infection may contribute to malnutrition and stunting in children. This study aimed to analyze the spatial distribution of soil-transmitted helminth infections and hygiene risk among stunted toddlers in Kaliwates District. A cross-sectional study was conducted from August 2023 to May 2024 involving 103 stunted toddlers. Stool samples were examined using sedimentation and flotation methods, and hygiene data were collected through caregiver interviews. Fisher’s exact test and Moran’s Index were applied. The infection prevalence was 8.7%, predominantly hookworm. No significant association was found between hygiene factors and infection (p>0.05). Spatial analysis indicated a random distribution pattern. These findings suggest that deworming programs and hygiene promotion should be maintained, and spatial mapping may support targeted interventions.
FAKTOR HIGIENITAS PERORANGAN DAN SANITASI LINGKUNGAN RUMAH TANGGA TERHADAP KONTAMINASI SOIL TRANSMITTED HELMINTH (STH) PADA TANAH Utami, Wiwien Sugih; Furqon, Achmad Nazalal; Indreswari, Laksmi; Armianti, Yunita; Hermansyah, Bagus
Bahasa Indonesia Vol 22 No 1 (2023): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v22i1.3562

Abstract

Pendahuluan: Infeksi Soil-Transmitted Helminths (STH) merupakan penyakit yang ditularkan melalui telur dari tinja orang yang terinfeksi. Menurut WHO sekitar 1,5 miliar orang di dunia mengalami kasus infeksi cacing yang setelah ditelusuri penularannya melalui tanah. Perbaikan higienitas perorangan dan sanitasi lingkungan diketahui berpotensi meningkatkan keberhasilan program WHO untuk mengurangi infeksi cacingan terutama jenis STH. Hal itu dibuktikan oleh penelitian yang membahas tentang peningkatan fasilitas sanitasi jamban dapat mengurangi prevalensi infeksi STH. Metode: Penelitian ini merupakan penelitian analitik observasional dengan desain potong lintang di Kecamatan Kaliwates Kabupaten Jember. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling. Jumlah sampel dalam penelitian ini sebanyak 33 sampel. Penelitian ini menguji faktor higienitas perorangan dan sanitasi lingkungan terhadap kontaminasi STH pada tanah. Uji statistik menggunakan chi-square dan regresi logistik. Hasil: Hasil analisis bivariat menunjukkan bahwa kebiasaan buang air besar, sarana pembuangan sampah, sarana pembuangan tinja tidak memiliki hubungan yang signifikan dengan kontaminasi STH pada tanah (p>0,05). Sedangkan sarana pembuangan air limbah rumah tangga, lokasi kandang hewan ternak dan penggunaan pupuk tanaman memiliki hubungan yang signifikan dengan kontaminasi STH pada tanah (p<0,05). Lokasi kandang hewan ternak merupakan variabel yang paling berpengaruh terhadap kontaminasi STH pada tanah. Simpulan: Sarana pembuangan air limbah rumah tangga, lokasi kandang hewan ternak dan penggunaan pupuk tanaman berhubungan dengan kontaminasi STH pada tanah (p<0,05). Lokasi kandang hewan ternak merupakan variable yang paling berpengaruh terhadap kontaminasi STH pada tanah. Kata Kunci: higienitas perorangan; sanitasi lingkungan rumah tangga, soil-transmitted helminths.
PERSONAL HYGIENE AS A RISK FACTOR FOR STH INFECTION AMONG FARMERS IN JEMBER REGENCY Emilia Angelica; Jauhar Firdaus; Bagus Hermansyah; Wiwien Sugih Utami; Yunita Armiyanti
Journal of Vocational Health Studies Vol. 9 No. 3 (2026): March 2026 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V9.I3.2026.169-175

Abstract

Background: Soil Transmitted Helminth (STH) infections remain one of the main health problems in developing countries, including Indonesia with prevalence rates ranging from 2.5% to 62%. Poor personal hygiene is a key risk factor contributing to the increased prevalence, especially among farmers. Jember Regency, an agricultural region where most residents work as farmers, presents a higher vulnerability to STH infections due to frequent contact with soil. Purpose: This study aimed to analyze the association between personal hygiene and STH infection among farmers in Jember Regency, East Java. Method: This study was a cross-sectional design involving 100 farmers selected using multistage sampling. Structured questionnaires were used for hygiene data collection. Identification of STH from fecal samples used sedimentation and flotation techniques. The relationship between hygiene practices and STH infections was tested using Cramer's V. Result: The prevalence of STH infections in farmers was 10% and all of them were hookworm infections. Most respondents, including those infected with STH, had moderate hygiene category. The results of statistical tests showed a significant relationship between personal hygiene and STH infections among farmers in Jember district. Conclusion: The strong link between personal hygiene and STH infection indicated that existing practices might not be adequate for safeguarding individuals in farming environments. On the other hand, maintaining personal hygiene was essential in the preventive approach for the farming community in Jember.
Co-Authors Achmad Ilham Tohari Achmad Maududie Adella Bintang Saputri Adinda Putri Yusri Amrina Amrina, Adinda Putri Yusri Angga Mardro Raharjo Anita Dewi Prahastuti Sujoso, Anita Dewi Prahastuti Ardyansyah, Rizky Robeth Arina, Yuliana Mahdiyah Daat Aris Prasetyo Armianti, Yunita Asis Fitriana Aulya Rahmi Ayundasari, Asti Ayundasari, Asti Azham Purwandhono Azham Purwandhono Aziz, Ayu Munawaroh Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Baskoro Adi Prayitno Brillian Adexa Yudinda Cholis Abrori, Cholis Devita Prima Nurmasari Dewi Rokhmah Dian Eka Putri Harnandhari Diana Chusna Mufida Dicky Setiawan Dimas Aji Bimantara Dini Agustina Dita Diana Parti Drajad, Rahadinda Mutia Dhamar Dwi Prijatmoko Dwita Aryadina Rachmawati Elvia Rahmi Marga Putri Emilia Angelica ENNY SUSWATI Eny Nurmaida Epafroditus Sanjaya Adiguna Erfan Efendi Erma Sulistyaningsih Erma Sulistyaningsih Faizatun Nikmah, Faizatun Febrianti, Zahrah Furqon, Achmad Nazalal Ghaiska Najma Amnur Hanu Neda Septian Heni Fatmawati Hermansyah, Bagus Ida Srisurani Wiji Astuti Ika Barokah Suryaningsih Ika Rahmawati Sutejo Ika Rahmawati Sutejo Ika Sriwinarti Ilamto, Bambang Irawan Fajar Kusuma Isa Ma'rufi Isa Ma’rufi Jauhani, M. Afiful Jauhar Firdaus Jauhar Firdaus Kesy Sasta Handani Khoiruddin, Mukhammad Arif Hadi Kristianningrum Dian Sofiana Laily Nurhayati Laksmi Indreswari Laksmi Indreswari Leersia Yusi Ratnawati M. Ali Shodikin M.S. Irham Rozaq Mash’ab Zirrun Al-Qomah Mauliya Sri Sukmawati Wahyudi Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Zainul Fikri Mukhammad Arif Hadi Khoirudin Nabila Putri Anissa Nanda Nuramna Nanik Kurniati Nanik Kurniyati Nidia Nursafitri Nindya Shinta Rumastika Nur Hasyimiyyah Nuri Nurmaida, Eny Nurmaida, Eny Nurus Saffana Yulianto Pangestu, Ahmad Yudho Hadi Pradana, Tasya Lukita Cyndi Pralampita, Pulong Wijang Prriantono, Dwinda Pungky Setya Arini Putra, Muhamad Dwi Eka Rachmawati, Dwita Aryadina Rahardi, Verdian Rahardjo, Angga Mardro Rahmi, Aulya Ramadanti, Novi Awalia Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rena Normasari Rifaldy Nabiel Erisadana Rozaq, M.S. Irham Sa'bani, Begawan Salsabilla, Safira Putri Nur Selly Silfana Liensa Sugeng Winarso Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Tartila, Jasmine tunsiah, tunsiah Widjaja Putra, Bayu Taruna Wulandari, Lindi Priyantika Tri Yehuda Tri Nugroho Supranoto Yoga Setyo Yudha Nurdian Yudi Wicaksono Yunita Armiyanti Zulaikha Rizqina Rahmawati