Three human taeniid species, Taenia solium, Taenia saginata and Taenia asiatica are distributed in Indonesia. A field survey conducted in Bali from 2002 to 2006 showed that the prevalence of taeniasis was highly variable among four districts (1.1-27.5%), and only two cysticercosis cases due to T. solium infection were detected. All tapeworms (n = 66) expelled from 66 tapeworm carriers were confirmed to be T. saginata by mitochondrial DNA analysis. A total prevalence of 13.0% (19/146) for T. solium taeniasis was found in Jayawijaya District,
Latar belakang: Kejadian kecacingan pada balita di Indonesia masih tinggi. Untuk mengurangi kejadian kecacingan balitamemerlukan upaya terintegrasi seperti peningkatan perilaku sehat. Hal ini dapat diwujudkan dengan memberikan pengetahuan pada masyarakat terutama ibu yang mempunyai balita. Oleh karena itu perlu dilakukan penelitian tentang pengetahuan dan sikap ibu yang mempunyai anak balita yang dibawa ke posyandu untuk pencegahan penyakit kecacingan pada balitaMetode: Ini adalah penelitian quasi experiment,pre and post test design. Populasi adalah ibu yang mempunyai anak balita yang datang ke posyandu Sentosa di Kota Medan tahun 2016. Sampel adalah ibu yang bersedia memeriksakan tinja anak balitanya. Sampel diambil secara purposif yaitu sebanyak 50 orang. Intervensi yang diberikan berupa penyuluhan (ceramah dan video). Pengumpulan data menggunakan kuesioner dan catatan medik Puskesmas Sentosa Baru. Analisis data secara univariat, bivariat menggunakan analisis uji chi-square.Hasil: Total dari 50ibu yang mempunyai anak balita sebagian besar pada kelompok umur 20-30 tahun, berpendidikan SMP, bekerja sebagai ibu rumah tangga dan mempunyai anak 1-2 orang. Ada peningkatan pengetahuan dan sikap yang baik sebesar 43% dan 52% sesudah di berikan intervensi. Ada pengaruh tingkat pengetahuan ibu terhadap infeksi kecacingan pada balita (RR= 1,96; 95% CI: 1,12-4,15;p = 0,002). Ada pengaruh sikap ibu terhadap infeksi kecacingan pada balita (RR=2,46; 95% CI: 1,46-5,62;p = 0,001).Simpulan: Infeksi kecacingan pada anak balita dipengaruhi oleh pengetahuan dan sikap ibu. Untuk menjaga kesehatan anaknya perlu menjaga kebersihan diri dan lingkungan sertamelakukan pemeriksaan kesehatan secara periodik, penyuluhan kesehatan secara rutin perlu diberikan pada ibu yang datang ke posyandu ABSTRACTTitle: The Influence of Maternal Knowledgeand Attitude Against Soil Transmitted Helminths Infections in Children Lessthan Five Years OldBackground:The incidenceof helminthes infection in children less than five years old is still high in Indonesia. To reduce the incidence of helminthes infectionneeds an integrated effort such as the improvement of healthy behavior. This can be realized by providing knowledge to the community, especially mothers with children under five years. Therefore it is necessary to do research on knowledge and attitude of mother who have children under five who brought to posyandu for prevention of diseases of helminthes infection in children less than five years oldMethod:This is a quasi-experimental study pre and post-test design. The population is mothers who have children less than five years old who come to posyandu Sentosa in Medan City in 2016. The sample is the mother who is willing to check the feces of her children. The sample was taken purposively as many as 50 people. Data collection was using structural questioners before and after intervention (lectures and video) about helminthesinfection.Data medical records from Puskesmas Sentosa Baru Medan. Data analysis univariate and bivariate using chi-square test.Result:A total of 50 mothers with children less than five years old are mostly in the age group 20-30 year, junior high school educated, work as housewives and have 1-2 children. There is an increase in knowledge and good attitude by 43% and 52% after intervention.Mothers with not good knowledge and not good attitude were significantly influence intensity of helminthesinfection in children (RR = 1.96; 95% CI 1.12-4.15, p = 0.002) and (RR = 2.46, 95% CI 1.46-5.62, p = 0.001) respectively.Conclusion: There was influence of maternal knowledge and attitude against helminthes infection in children less than five years old. Awareness in protection of personal and environment hygiene, periodic medical check- up should be done for improve health children. Health counseling routinely needs to be given to mothers who come to posyandu
Trichuris sp. infection has appeared as a pathological burden in the population, but the immunomodulation features could result in an opportunity to discover novel treatments for diseases with prominent inflammatory responses. Regarding the immunological aspects, the innate immune responses against Trichuris sp. are also responsible for determining subsequent immune responses, including the activation of innate lymphoid cell type 2 (ILC2s), and encouraging the immune cell polarization of the resistant host phenotype. Nevertheless, this parasite can establish a supportive niche for worm survival and finally avoid host immune interference. Trichuris sp. could skew antigen recognition and immune cell activation and proliferation through the generation of specific substances, called excretory/secretory (ESPs) and soluble products (SPs), which mainly mediate its immunomodulation properties. Through this review, we elaborate and discuss innate–adaptive immune responses and immunomodulation aspects, as well as the clinical implications for managing inflammatory-based diseases, such as inflammatory bowel diseases, allergic, sepsis, and other autoimmune diseases.
BACKGROUND: Cryptosporidium sp. is an apicomplexan protozoa, and it is related to an immunocompromised state. As it develops diverse clinical manifestations, mild to life-threatening conditions, administration of anti-parasitic medication and its management remain problematic. AIM: The study aimed to provide Cryptosporidiosis symptomatology and its prevalence among HIV-infected patients in a tertiary referral hospital, Haji Adam Malik General Hospital, Medan, Indonesia. MATERIAL AND METHODS: Symptomatology was noted using short-questionnaire, and laboratory findings were obtained from the hospital medical record registry on the same day of admission. We enrolled 24 patients were suffered from HIV infection for a certain period and more than one-week diarrhoea including 18 males and 6 females. Routine faeces examination using wet mount, Kinyoun-gabet, and trichrome staining was performed for all samples in Parasitology Department, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia. Numerical data were evaluated using the Mann-Whitney test while Fisher Exact test was used to determine any association between categorical variables. RESULTS: Our study found that 8 of 24 patients were positive with Cryptosporidium sp. while its symptomatology including abdominal cramp (66.7%), nausea and vomiting (70.8%), and fever (62.5%) is prevalent from our study. We obtained significant association between CD4 cell count (p = 0.006), diarrhea duration (p = 0.007), abdominal pain (p = 0.005), and nausea and vomiting (p = 0.021) with cryptosporidiosis. CONCLUSION: High consideration of several symptoms related to cryptosporidiosis leads a clinician to initiate prompt management particularly in a high-risk population.
Introduction: Scabies has been a continuous health concern in residential institutions including boarding schools in Indonesia. The disease easily spreads in overcrowding residences. Using one of several boarding schools in Medan, Indonesia, as study site, we conducted this study to better understand the underlying factors behind scabies incidence in boarding schools. We hoped to be able to promote more effective preventive measures toward the disease. Materials and Methods: We included all of 220 students (115 males and 105 females) in a cross-sectional descriptive analytical study, whose ages were ranging from 10 to 18 years. The diagnosis of scabies was made based on interview and physical examination. Skin scraping followed by microscopic assessment was carried out upon finding scabies-related lesion. Data on risk factors were collected using a set of pretested questionnaire and direct observation. Data were analyzed using bivariate and multivariate analysis the with Chi square and logistic regression. Results: We found a high prevalence clinical scabies, i.e., 81 (36.8%) students, yet only one came out positive with skin scraping and microscopic examination. The factors associated with the infection were found to be younger age (odds ratio [OR]: 2.95, 95% confidence interval [CI] 0.97–6.09), sharing clothes (OR: 8.22, 95% CI 2.37–28.48), sharing bed (OR: 17.53, 95% CI 5.55–56.02), and unhygienic bedroom condition (OR: 8.18, 95% CI 3.30–20.28). Conclusions: The results imply the need for better strategies to prevent the transmission of astigmatid mites within the risky populations. We promote six recommendations for a more applicable approach toward scabies prevention in boarding schools and other institutional facilities alike.
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