Risk factors for diarrhea among travellers visiting Bali

Wahyuni, Ni Wayan Mega Sri; Wirawan, I Made Ady; Hendrayana, Made Agus

doi:10.15562/phpma.v7i2.222

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The incidence of diarrhea in foreign tourists visiting Bali is 25.5%, from May to August 2013 [1]. One of the risk factors for diarrhea in travelers who come to Bali is consuming Balinese traditional food such as lawar, pork satay, and traditional barbecued pork [2].…”

Section: Introductionmentioning

confidence: 99%

Food Handlers Hygiene of Balinese Traditional Food in Tourism Destination at Badung Regency

2023

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Introduction: Food safety is the domain of public health problems which can be seen from the incidence of foodborne diseases that often occur in developing countries. Personal hygiene can prevent the occurrence of food borne diseases and cross contamination. This study aims to describe the food handlers hygiene while processing balinese traditional food. Methods: Observational research with cross sectional design. Respondents in this study are 90 food handlers in Badung Regency, obtained by purposive sampling. Descriptive statistical analysis and chi-square test was used in data analysis. Results: 20% food handler had good practice in personal hygiene while processing traditional food. Less than 100% food handlers wash their hands before and after cooking, wash their hands with soap, sneeze not facing food, and keep their nails clean and not long. 22,2% food handler uses hair net while processing food. 100% of food handlers are in good health and use clean clothes when processing food. There are differences in personal hygiene behavior based on education level (p=0,042). Conclusion: Traditional Balinese food handlers have low personal hygiene. Monitoring is needed to improve the hygiene of food handlers in the production processes. Analytical observational research is essential to understand the factors that influence food handler hygiene.

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Section: Introductionmentioning

confidence: 99%

Food Handlers Hygiene of Balinese Traditional Food in Tourism Destination at Badung Regency

2023

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“…(Luh Seri Ani, 2016) Another study found the incidence of diarrhea in foreign travelers was consumption of street food and traditional barbequed pork. (Ni Wayan Mega Sri Wahyuni, 2019) Bali is one of Indonesia's islands and a favorite tourist destination, especially for foreign tourists. The number of tourist visits increased again after the pandemic storm ended.…”

Section: Introductionmentioning

confidence: 99%

Handwashing Training for Hotel Employees to Reduce the Incidence f Traveler Diarrhea Disease in Tourists

Made Agus Hendrayana,

Ani,

Luh Mertasari

et al. 2023

ABDIMAS

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Traveler diarrhea is known as Bali's belly and is often suffered by foreign tourists who visit Bali Island. These activities aimed to see the diarrhea status and knowledge level of hotel employees of the hand washing method. We held this community devotion at a hotel in the Kalibukbuk District, Buleleng – Bali Province, in April 2023. The objective of these activities was for all the hotel employees, a number 44 people. The subjects were chosen by the total sampling method. The inclusion criteria are the hotel employees were registered and willing to participate. The inclusion criteria are sick and on duty. The data collected are the results of a complete fecal laboratory and the level of knowledge about excellent and correct hand washing. Complete fecal data was collected by observation, while knowledge level data was collected by the self-administered questionnaire method. Furthermore, the data were analyzed in a univariate descriptive. Of the forty-four service participants, twenty-one were willing to collect fecal samples. The results of laboratory tests were obtained 100% of the hotel staff had complete fecal results within normal limits based on indicators of color, texture, fecal consistency, the appearance of bacteria, fungi, parasites, viruses, blood, lenders, pus, meat fiber, sugar and fat in feces and potential fecal, hydrogen (pH). The staff's knowledge level score about handwashing increased from 75.7 before counseling to 99.2 after counseling. Hotel employees are free from traveler's diarrheal disease and their level of knowledge increases after being given a campaign on proper and correct handwashing methods. So, it is advisable to routinely conduct fecal examinations once every one year and keep. Updating the knowledge and skills of staff in washing hands appropriately and correctly as an effort to prevent disease, especially travelers' diarrhea.

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Escherichia coli Clonal Variability Based on Genetic Diversity Pattern with Enterobacterial Repetitive Intergenic Consensus-Polymerase Chain Reaction Methods for Traveler’s Diarrhea Cases in Bali

Sukrama

Pinatih

Hendrayana

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Bali is a favorite tourism destination in the world. As a major tourist destination, the incidence of illness that afflicts tourists greatly affects the image of tourism. Diarrhea is a health problem that is most often experienced and is a major obstacle for foreign tourists when traveling, especially to Bali. Escherichia coli (E. coli) bacteria cause diarrhea more often than viruses in some developing countries. Genetic differences can affect the characteristics of E. coli, especially in relation to the medical field. AIM: We would like to assess the genetic diversity of the different pathogenic E. coli from various clinical isolates including those from traveler’s diarrhea in Bali, Indonesia. MATERIALS AND METHODS: One of the molecular techniques used in this study is to use enterobacterial repetitive intergenic consensus-polymerase chain reaction (ERIC-PCR). The sample in this study was the feces of foreign tourists with traveler’s diarrhea in Bali. This study carried out research procedures in the form of Isolation of E. coli genome DNA from culture, amplification of E. coli 16S rRNA encoding genes, sequencing of E. coli 16S rRNA encoding genes, phylogenetic tree construction, and then analysis of E. coli genetic diversity with ERIC-PCR sequences. RESULTS: The results showed that the ERIC-PCR method was more discriminatory than other methods to analyze the genetic diversity of E. coli from fecal samples of patients with traveler’s diarrhea. It was found that clonal variability based on the genetic similarity of all sample E. coli isolates varied from 0% to 100%. CONCLUSIONS: This shows that the source of transmission and the strains of E. coli that cause it comes from diverse populations.

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Risk factors for diarrhea among travellers visiting Bali

Cited by 3 publications

References 10 publications

Food Handlers Hygiene of Balinese Traditional Food in Tourism Destination at Badung Regency

Food Handlers Hygiene of Balinese Traditional Food in Tourism Destination at Badung Regency

Handwashing Training for Hotel Employees to Reduce the Incidence f Traveler Diarrhea Disease in Tourists

Escherichia coli Clonal Variability Based on Genetic Diversity Pattern with Enterobacterial Repetitive Intergenic Consensus-Polymerase Chain Reaction Methods for Traveler’s Diarrhea Cases in Bali

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