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Journal : Paediatrica Indonesiana

Risk factors of soil-transmitted helminth infection among elementary school students Kadek Adit Wiryadana; I Wayan Ardyan Sudharta Putra; Putu Diah Saraswati Rahayu; Made Martha Pradnyana; Made Lady Adelaida; I Made Sudarmaja
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.201 KB) | DOI: 10.14238/pi57.6.2017.295-302

Abstract

Background Helminth infection remains a health problem, especially in school-aged children. Mass eradication programs with a single dose of anti-helminthic drugs were employed by the local government in some endemic areas in Bali. However, the effectiveness of the programs has not been well evaluated. Objective To investigate prevalence and possible risk factors of helminth infection, including nutritional status, in elementary school students from endemic areas who participated in mass eradication programs. Methods This cross-sectional study involved 126 students from Elementary School No. 3 Gegelang, Karangasem, Bali, a location that had recently undergone a mass eradication program. Diagnoses were based on direct smear examination of fecal specimens. Information on suspected risk factors and nutritional status were collected by questionnaire and anthropometric measurement, respectively. Statistical analyses included Chi-square and odds ratio, using SPSS v21 software. Results The prevalence of helminth infection was 31.7% with etiologies of Trichuris trichuria (75%), Ascaris lumbricoides (17.5%), or both infections (7.5%). Habits of not using footwear [OR=4.88; 95%CI 1.15 to 20.65], not keeping nails trimmed [OR=3.33; 95%CI 1.07 to 10.37], and absence of a proper toilet [OR=4.31; 95%CI 1.93 to 9.64] were found to be significant risk factors for helminth infection. However, we found no significant association between helminth infection and nutritional status, although a considerable number of students had less than normal reference values, in terms of weight, height, and BMI for age. Conclusion The prevalence of helminth infection continues to be high, with personal hygiene and sanitation as significant risk factors. History of mass eradication programs did not confer an effective protection against helminth infection.
Co-Authors A.A Indah Suadnyani A.A Indah Suadnyani Abdulhadi FA Adiputra, I Komang Hotra Agilan Sethupathy Amaral, Meriana Barreto Amelia, Irene Anak Agung Ayu Mirah Adi Ariwati, Ni Luh Ayu Surasmiati, Ni Made Bagus Komang Satriyasa Cokorda Agung Wahyu Purnamasidhi Daondy Friarsa Soeharto Dewa Ayu Agus Sri Laksemi Dewa Ayu Agus Sri Laksmi Divya Nirmala, Putu Ayu Eka Sutyawan, I Wayan I Gusti Agung Ayu Chintya Cahyarini I Gusti Agung Dwi Putri Anjani I Gusti Ayu Prapti Adnyani I Gusti Ayu Prapti Adnyani I Gusti Kamasan Arijana I Kadek Swastika I Ketut Tunas I Made Bakta I Made Jawi I NYOMAN MANTIK ASTAWA I Putu Dema Prasetya I Putu Dodik Supartha I Wayan Ardyan Sudharta Putra I Wayan Putu Sutirta Yasa I Wayan Sugiritama Ida Ayu Dewi Wiryantini Ida Ayu Ide Larassanthi Pratiwi Ida Ayu Sintya Pratiwi Ida Bagus Putra Manuaba Ivy Cerelia Valerie Kadek Adit Wiryadana Kadek Yuda Dira Pratama Ketut Suryana Ketut Teddy Bayu Pradinata kumara, i made bagus bayu L. Ariwati Luh Ariwati Luh Putu Ratna Sundari Lusi Martha Indrayani Made Lady Adelaida Made Martha Pradnyana Made Sushmita Dharmasuari Maretta Rosabella Purnamasari Maretta Rosabella Purnamasari Maria Krishnandita N.L Ariwati N.L.P.E. Diarthini Ni Luh Ariwati Ni Luh Ariwati Ni Luh Jayanti Wulan Sari Ni Luh Komang Sumi Arcani Ni Luh Putu Eka Diarthini Ni Luh Putu Eka Diarthini, Ni Luh Putu Eka Ni Luh Rustini Ni Made Laksmi Utari Ni Made Linawati Ni Nyoman Agustianingsih Ni Putu Akopita Devi Ni Putu Tamara Bidari Suweta Nurulhuda Binti Embong P.A.A. Damayanti Pandango, Ivana Griselarosa Koni Pratisthita Sukadana, I Made Ananda Prajna Putu Ari Paramitha Widiani Putu Ayu Asri Damayanti Putu Ayu Larasati Putu Bagus Onicha Baskaranatha Putu Diah Saraswati Rahayu Putu Indah Budi Apsari REFAYANTI, NI MADE ERNITA Saraswati Devi, Ni Made Kumbha Mella Shabrina Inderjit Sri Laksemi, Dewa Ayu Agus SugengO Juwono Mardihusodo Widiyanti, I Gusti Ayu Wulansari Manuaba, Ida Ayu Ratih Wulanyani Wulanyani