Athiyyah Alpha F, Surono Ingrid S, Ranuh Reza G, Darma Andy, Basuki Sukmawati, Rossyanti Lynda, Sudarmo Subijanto M, Venema Koen
Department of Child Health, Faculty of Medicine, Universitas Airlangga, Surabaya 60286, Indonesia.
Department of Child Health, Dr. Soetmo General Hospital, Surabaya 60286, Indonesia.
Trop Med Infect Dis. 2023 Jan 6;8(1):45. doi: 10.3390/tropicalmed8010045.
The prevalence of intestinal parasitic infection remains high in developing countries, especially because of geographic and socio-demographic factors. This study aimed to evaluate intestinal parasitic infection, as well as its risk factors, among children aged 36-45 months in a rural area (North Kodi) and an urban area (Kupang) of East Nusa Tenggara, Indonesia. Anthropometry, socio-demographic factors and personal hygiene practices were assessed. A total of 214 children participated in the study, and 200 stool samples were collected for intestinal parasite examination. Approximately 30.5% (61/200) of the children were infected with one or more intestinal parasites (67.2%; 41/61 being mono-parasitic infections and 32.8%; 20/61 being poly-parasitic infections). A total of 85 intestinal parasites were detected, consisting of 35.3% (30/85) protozoa and 64.7% (55/85) helminths. The predominant protozoa were (43%; 13/30) and spp. (33.3%; 10/30), whereas the predominant helminths were (50.9%; 28/55) and (43.6%; 24/55). Moreover, intestinal parasitic infection was associated with rural area (OR 4.5; 95%CI 2.3-8.6); the absence of treatment with deworming drugs (OR 2.56; 95%CI 1.3-5.0); sanitation facilities without a septic tank (OR 4.3; 95%CI 2.1-8.5); unclean water as a source of drinking water (OR 4.67; 95%CI 2.4-9.4); no handwashing practice after defecation (OR 3.2; 95%CI 1.4-7.3); and stunted children (OR 4.4; 95%CI 2.3-8.3). In conclusion, poly-parasitic infections were common in this study. Poor personal hygiene practice and sanitation factors contributed to the high prevalence of intestinal parasitic infection in 36-45-month-old children in East Nusa Tenggara, Indonesia.
在发展中国家，肠道寄生虫感染的患病率仍然很高，特别是由于地理和社会人口因素。本研究旨在评估印度尼西亚东努沙登加拉省农村地区（北科迪）和城市地区（古邦）36 - 45个月大儿童的肠道寄生虫感染情况及其危险因素。评估了人体测量学、社会人口因素和个人卫生习惯。共有214名儿童参与了该研究，并采集了200份粪便样本进行肠道寄生虫检查。约30.5%（61/200）的儿童感染了一种或多种肠道寄生虫（67.2%；41/61为单寄生虫感染，32.8%；20/61为多寄生虫感染）。共检测到85种肠道寄生虫，其中原生动物占35.3%（30/85），蠕虫占64.7%（55/85）。主要的原生动物是 （43%；13/30）和 属（33.3%；10/30），而主要的蠕虫是 （50.9%；28/55）和 （43.6%；24/55）。此外，肠道寄生虫感染与农村地区有关（比值比4.5；95%置信区间2.3 - 8.6）；未使用驱虫药物治疗（比值比2.56；95%置信区间1.3 - 5.0）；没有化粪池的卫生设施（比值比4.3；95%置信区间2.1 - 8.5）；不洁水作为饮用水源（比值比4.67；95%置信区间2.4 - 9.4）；排便后不洗手（比值比3.2；95%置信区间1.4 - 7.3）；以及发育迟缓的儿童（比值比4.4；95%置信区间2.3 - 8.3）。总之，多寄生虫感染在本研究中很常见。个人卫生习惯差和卫生因素导致印度尼西亚东努沙登加拉省36 - 45个月大儿童肠道寄生虫感染患病率较高。
