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All Journal Microbiology Indonesia Indonesian Journal of Urology Jurnal Berkala Epidemiologi Indonesian Journal of Tropical and Infectious Disease Paediatrica Indonesiana Belitung Nursing Journal J-Dinamika: Jurnal Pengabdian Kepada Masyarakat JURNAL KESEHATAN MERCUSUAR Majalah Biomorfologi (Biomorphology Journal) CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Jurnal Pengabdian Masyarakat dalam Kesehatan International Islamic Medical Journal Narra J Jurnal Ilmiah Kesehatan (JIKA) Makara Journal of Health Research
Juniastuti Juniastuti
Department Of Microbiology, Medical Faculty, Universitas Airlangga, Surabaya Indonesia-Japan Collaborative Research Center For Emerging And Re-emerging Infectious Diseases Institute Of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : paediatrica indonesiana

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Using sensitivity and specificity of clinical signs and symptoms to triage possible soil-transmitted helminth infections in preschool children Irma, Irma; Juniastuti, Juniastuti
Paediatrica Indonesiana Vol. 66 No. 2 (2026): March 2026
Publisher : Indonesian Pediatric Society

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Abstract

Background The prevalence of pediatric soil-transmitted helminth (STH) infection in Kendari, Southeast Sulawesi remains high at 33.3%, well above the Indonesian national estimate of 21.6%. Laboratory confirmation of STH infection is often impractical and costly, posing problems for mass screening. Identification of signs and symptoms with high sensitivity and specificity can serve as a useful triage tool in resource-limited settings before laboratory confirmation. Objective To determine the diagnostic value of a specific set of signs and symptoms to screen for children to be prioritized for laboratory testing. Methods This cross-sectional study was conducted from October to December 2024 in the coastal areas of Kendari. The study involved 242 children from 8 early childhood education (PAUD) centers. We administered questionnaires to the mothers of participating children, followed by laboratory testing of their children. Five clinical signs and symptoms common to STH infection were analyzed and compared to laboratory findings as the gold standard. Results Not all children experienced signs and symptoms as reported by their mothers. The sensitivity, specificity, and accuracy of nausea/vomiting was 24.1%, 8.3%, and 11.1%, respectively, of frequent diarrhea was 17.2%, 95.3%, and 66.1%, respectively, of abdominal pain was 54.0%, 95.5%, and 80.5%, respectively, of anorexia was 47.1%, 87.7%, and 73.1%, respectively, and of frequent anal itching was 29.8%, 94.8%, and 71.9%, respectively. None of the symptoms had high sensitivity. However, abdominal pain, anorexia, and frequent anal itching showed relatively high specificity and accuracy, making them potentially useful for initial screening. Conclusion  Although no symptom alone can reliably detect STH infection, the presence of abdominal pain, anorexia, and anal itching may be considered as practical indicators for preliminary screening in resource-limited settings.
Co-Authors A.A. Ketut Agung Cahyawan W Achmad Ardianto, Achmad Adhiningsih, Yunita Ratri Adiana Mutamsari Witaningrum Adnyana , I Made Dwi Mertha Ahmad Suryawan Aksono HP., Eduardus Bimo Al Karina, Citra Alfaray, Ricky I. Alimsardjono, Lindawati Alpha Fardah Athiyyah Ana Bilah, Aisah Nur Andy Darma Annisa Fira Salsabila Asmarawati, Tri Pudy Budi Utomo Deby Kusumaningrum Desi Fitriani Dewi, Selva R. Dian Marcia, Dian Doddy M. Soebadi Dominicus Husada Dwi Endraswari, Pepy Dwiyanti Puspitasari, Dwiyanti Edward M Putera, Edward M Eko Budi Koendhori, Eko Budi Faisal Faisal Fathmawati Fathmawati Fatimah Arief Fauzia, Kartika A. Fedik Abdul Rantam Fikri Sasongko Widyatama Firmansyah, Joedhistira Bayu Fitria, Anisa Lailatul Florentina Sustini HAK HOTTA HAK HOTTA Hana Heny Arwati Herman Kosasih HERNOMO ONTOSENO KUSUMOBROTO Hunowu, Ramdan I Gusti Made Reza Gunadi Ranuh Ilma Dzurriyyatan Toyyibah Irma Irma Itja Firdarini, Itja Khairul Bariyah, Khairul Laura Navika Yamani Lindarto, Wira Widjaya M. Qushay, M. Maharani, Aussie Tahta Mahmudatul Muna, Nafdzu Maria I Lusida, Maria I MARIA INGE LUSIDA Maria Inge Lusida MARIA INGE LUSIDA MOCHAMAD AMIN MOCHAMAD AMIN Mochamad Yusuf Alsagaff MOCHAMMAD THAHA Moses Tende Stephens Muhammad Faizi Muhammad Miftahussurur Muna, Nafdzu Makhmudatul Musofa Rusli Nasronudin Nasronudin Nur Rochmah Nurul Wiqoyah, Nurul Pepy Dwi Endraswari, Pepy Dwi Peter Chilaque Dossen Prihartini Widiyanti Priyo B Purwono, Priyo B Priyo Budi Purwono Rebekah Setiabudi, Rebekah Retno Handajani Retno Pudji Rahayu Retno Wahyunitisari, Manik Rusli , Musofa Sardjono, Lindawati Alim Septyawati, Ratna Setiawan, Firman Siti Qamariyah Khairunisa, Siti Qamariyah SOETJIPTO . SOETJIPTO . Sri Subekti Sudarmo, Subijanto Marto Sukmawati Basuki Sulistiawati Sunaryo Hardjowijoto TAKAKO UTSUMI Takako Utsumi TAKAKO UTSUMI Taufik Indrawan Tomohiro Kotaki, Tomohiro Vermasari, Naritha Wahyunitisari, Manik Retno Wiwin Retnowati YOSHIHIKO YANO YOSHIHIKO YANO Yoshio Yamaoka, Yoshio YOSHITAKE HAYASHI YOSHITAKE HAYASHI Yunita Ratri Adhiningsih Zayyin Dinana