Nutritional Status of School-aged Children with Intestinal Parasite Infection in South Jakarta, Indonesia

Authors

  • Ika Puspa Sari Department of Parasitology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Sacha Audindra Undergraduate Program in Medical Doctor, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Aqila S. Zhafira Undergraduate Program in Medical Doctor, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Arin A. Rahma Undergraduate Program in Medical Doctor, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Cut V. Syarira Undergraduate Program in Medical Doctor, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Sri Wahdini Department of Parasitology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5711

Keywords:

Parasitic Infection, Malnourish, Primary Schools, South Jakarta

Abstract

BACKGROUND: The prevalence of intestinal parasitic infection still high in Indonesia and lead to nutritional disorder, especially in the school-aged children.

AIM: This research conducted to find the association of intestinal parasitic infection to the nutritional status of the children.

METHODS: This was a cross sectional study, conducted in January 2016 in one primary school in South Jakarta, Jakarta, Indonesia, by collecting the children’s stool from 1st to 5th grade. Direct examination of the stool was conducted in the Parasitology Department, Faculty of Medicine, Universitas Indonesia, by Lugol and eosin staining. Nutritional status categorized using BMI chart. Data were analyzed using Chi-square test, Statistical Product, and Service Solutions version 20.

RESULTS: From the total 157 stool examined in the laboratory, there were 60 (38.2%) children positively infected with various kinds of intestinal parasites. Mostly the infection is caused by Blastocystis hominis, which infects 44 children (69.4%). The other infection is caused by Giardia lamblia (15.3%), Trichuris trichiura (1.4%), and hookworm (1.4%), and mixed infection of B. hominis and Escherichia coli (4.2%) and B. hominis with G. lamblia (4.2%). From the total of infected children, 17 children (28.3%) have BMI below 5th percentile, and it was considered as malnourished. Moreover, 67 uninfected children have normal nutritional status. Statistically, there is an association between intestinal parasitic infection and nutritional status in school-aged children in South Jakarta (P < 0.05).

CONCLUSION: The incidence of intestinal parasitic infection in school-aged children is 38.2%. Moreover, 28.3% of the infected children were malnourished and it is suggested that children with intestinal parasite infection have low nutritional status.

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References

Despommier DD, Gwadz RW, Griffin DO. Parasitic Diseases. 6th ed. New York: Parasites Without Borders; 2017. p. 590.

World Health Organization. Intestinal Worm. Geneva: World Health Organization; 2016. Available from: http://www. WHO|intestinalworms. [Last accessed on 2020 Nov 20].

Sungkar S, Pohan AP, Ramadani A, Albar N, Azizah F, Nugraha AR, et al. Heavy burden of intestinal parasite infections in Kalena Rongo village, a rural area in South West Sumba, eastern part of Indonesia: A cross sectional study. BMC Public Health. 2015;15:1296. https://doi.org/10.1186/s12889-015-2619-z

Ayele BH, Geleto A, Ayana DA, Redi M. Prevalence of fecooral transmitted protozoan infections and associated factors among university students in Ethiopia: A cross-sectional study. BMC Infect Dis. 2019;19(1):499. https://doi.org/10.1186/s12879-019-4095-z PMid:31174474

Turkeltaub JA, McCarty TR, Hotez PJ. The intestinal protozoa: Emerging impact on global health and development. Curr Opin Gastroenterol. 2015;31(1):38-44. https://doi.org/10.1097/mog.0000000000000135 PMid:25394233

Kementrian Kesehatan Republik Indonesia. Pedoman Pengendalian Kecacingan. Jakarta: Kementrian Kesehatan Republik Indonesia; 2012. https://doi.org/10.6066/jtip.2013.24.2.121

Wahdini S, Sudarmono P, Wardhana AW, Irmawati FP, Haswinzky RA, Dwinastiti YA, et al. Parasitic diseases in a boarding school children in Bogor Regency. eJ Kedokt Indones. 2019;6(3):207-11. https://doi.org/10.23886/ejki.6.10109.

Arıkan İ, Gülcan A, Dıbeklıoğlu SE. Investigation of factors affecting frequency of intestinal parasites in primary school students in an urban region in Turkey. Cent Eur J Public Health. 2016;24(3):193-8. https://doi.org/10.21101/cejph.a4231 PMid:27743514

Rahmawati R, Soeyoko S, Sumarni S, Sumarni S. Hygiene, sanitation and the soil transmitted helminths (STH) infection among elementary school students in West Lombok. J Med Sci. 2014;46(2):94-101. https://doi.org/10.19106/jmedscie004602201406

Rodríguez L, Cervantes E, Ortiz R. Malnutrition and gastrointestinal and respiratory infections in children: A public health problem. Int J Environ Res Public Health. 2011;8(4):1174- 205. https://doi.org/10.3390/ijerph8041174 PMid:21695035

Amare B, Ali J, Moges B, Yismaw G, Belygyn Y, Gebretsadik S. Nutritional status, intestinal parasite infection and allergy among school children in northwest Ethiopia. BMC Pediatr. 2013;13(7):1-9. https://doi.org/10.1186/1471-2431-13-7 PMid:23311926

Deakin University Autralia. Body Mass Index; 2012. Available From: http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles. nsf/pages/body_mass_index_%28bmi%29. [Last accessed on 2016 Jan 30].

World Health Organization. Levels and Trends in Child Malnutrition: Key Findings of the 2019 Edition. No. WHO/NMH/ NHD/19.20. Geneva: World Health Organization; 2019.

Khariri K, Agtini MD, Ariyanti E, Ekowati R, Puspandari N, Sembiring M. Parasitic Infestation in the Incidence of Diarrhea Among Toddlers in Jakarta, Bogor, Banjarmasin and Makassar. 4th International Symposium on Health Research (ISHR 2019). Paris: Atlantis Press; 2020. p. 658-62. https://doi.org/10.2991/ahsr.k.200215.129

Winita R, Huda M, Astuti H. Association of intestinal parasitic infection in children and their work as garbage collector. Med J Crist Univ Indones. 2016;32(2):113-9.

Mahmud MA, Spigt M, Bezabih AM, Dinant GJ, Velasco RB. Associations between intestinal parasitic infections, anaemia, and diarrhoea among school aged children, and the impact of hand-washing and nail clipping. BMC Res Notes. 2020;13(1):1. https://doi.org/10.1186/s13104-019-4871-2 PMid:31898526

Dessie A, Gebrehiwot TG, Kiros B, Wami SD, Chercos DH. Intestinal parasitic infections and determinant factors among school-age children in Ethiopia: A cross-sectional study. BMC Res Notes. 2019;12(1):777. https://doi.org/10.1186/s13104-019-4759-1

Yanola J, Nachaiwieng W, Duangmano S, Prasannarong M, Somboon P, Pornprasert S. Current prevalence of intestinal parasitic infections and their impact on hematological and nutritional status among Karen hill tribe children in Omkoi District, Chiang Mai Province, Thailand. Acta Trop. 2018;180:1- 6. https://doi.org/10.1016/j.actatropica.2018.01.001 PMid:29306723

Dickson R, Awasthi S, Williamson P, Demellweek C, Garner P. Effects of treatment for intestinal helminth infection on growth and cognitive performance in children: Systematic review of randomised trials. Br Med J. 2000;320(7251):1697-701. https://doi.org/10.1136/bmj.320.7251.1697

Sari IP, Benung MR, Wahdini S, Kurniawan A. Diagnosis and identification of Blastocystis subtypes in primary school children in Jakarta. J Trop Pediatr. 2018:64(3):208-14. https://doi.org/10.1093/tropej/fmx051 PMid:28977665

Trisukon W, Mungthin M, Piyaraj P, Leelayoova S, Naaglor T, Rangsin R, et al. Prevalence and risk factors of Blastocystis sp. infection among primary school children in a rural community, Central Thailand. J Southeast Asian Med Res. 2017;1(2):85-1. https://doi.org/10.1186/1756-3305-5-37

Kumarasamy V, Anbazhagan D, Subramaniyan V, Vellasamy S. Blastocystis sp., parasite associated with gastrointestinal disorders: An overview of its pathogenesis, immune modulation and therapeutic strategies. Curr Pharm Des. 2018;24(27):3172- 5. https://doi.org/10.2174/1381612824666180807101536 PMid:30084327

Cakir F, Cicek M, Yildirim IH. Determination the Subtypes of Blastocystis sp. and evaluate the effect of these subtypes on pathogenicity. Acta Parasitol. 2019;64(1):7-12. https://doi.org/10.2478/s11686-018-00002-y PMid:30649701

Certad G, Viscogliosi E, Chabé M, Cacciò SM. Pathogenic mechanisms of Cryptosporidium and Giardia. Trends Parasitol. 2017;33(7):561-76. https://doi.org/10.1016/j.pt.2017.02.006 PMid:28336217

Calegar DA, Monteiro KJ, Gonçalves AB, Boia MN, Jaeger LH, Nunes BC, et al. Infections with Giardia duodenalis and Entamoeba histolytica/ Entamoeba dispar as hidden and prevalent conditions in periurban communities in the state of Rio de Janeiro, Brazil. J Trop Med. 2020;2020:3134849. https://doi.org/10.1155/2020/3134849 PMid:32733575

Ross AG, Papier K, Luceres-Catubig R, Chau TN, Inobaya MT, Ng SK. Poverty, dietary intake, intestinal parasites, and nutritional status among school-age children in the rural Philippines. Trop Med Infect Dis. 2017;2(4):49. https://doi.org/10.3390/tropicalmed2040049 PMid:30270906

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Published

2021-02-18

How to Cite

1.
Sari IP, Audindra S, Zhafira AS, Rahma AA, Syarira CV, Wahdini S. Nutritional Status of School-aged Children with Intestinal Parasite Infection in South Jakarta, Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Feb. 18 [cited 2024 Apr. 19];9(E):95-100. Available from: https://oamjms.eu/index.php/mjms/article/view/5711

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Public Health Epidemiology

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