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Abstrak :
[Infeksi parasit usus merupakan infeksi yang banyak terjadi di daerah tropis dan subtropis terutama daerah dengan fasilitas sanitasi, air dan kebersihan yang tidak adekuat. Terbatasnya sumber air konsumsi diperkirakan menjadi penyebab tingginya infeksi. Anak-anak merupakan populasi yang rentan terhadap infeksi parasit usus. Penelitian bertujuan mengetahui prevalensi infeksi parasit usus pada anak-anak dan hubungannya dengan sumber air konsumsi. Penelitian dilakukan di TPA Bantar Gebang Bekasi, Jawa Barat tahun 2012. Metode penelitian yaitu Cross-Sectional. Pengambilan data melalui kuesioner dan pemeriksaan feses yang melibatkan 139 anak usia 0-15 tahun. Pemeriksaan feses menggunakan metode Kato Katz dan teknik identifikasi protozoa usus dengan larutan lugol atau eosin. Data yang diperoleh diproses dengan SPSS versi 16.0 dan dianalisis dengan uji Chi-square. Hasil penelitian menunjukan prevalensi infeksi parasit usus 72,7%. Infeksi disebabkan oleh Blastocystis hominis 53,5%, Giardia lamblia 30,9%, Trichuris trichura 20,9%, Ascaris lumbricoides 4,3% dan Entamoeba histolytica 2%. Uji Chi-square tidak menunjukan perbedaan bermakna antara prevalensi infeksi parasit usus yang dihubungkan dengan sumber air konsumsi (p>0,05). Disimpulkan bahwa prevalensi infeksi parasit usus pada anak-anak di TPA Bantar Gebang tinggi dengan Blastocystis hominis merupakan parasit yang paling banyak menginfeksi. Selain itu, sumber air konsumsi tidak berhubungan dengan infeksi parasit usus.;Intestinal parasitic infection is the most infection in tropic and subtropics regions where sanitation facilities, water and hygiene are inadequate. Limited of consumption water resource is estimated to be the cause of high infection. Children is a susceptible population of intestinal parasitic infection. The aim of this study was determine the prevalence of intestinal parasitic infection among children and its relationship with consumption water resource. This study was conducted in TPA Bantar Gebang Bekasi, West Java on 2012. The method of study was cross-sectional. Data was collected by questioner and stool examination on 139 children within 0-15 years old. Stool examination was determined using Kato Kats method and intestinal protozoa identification technique using lugol or eosin solution. Data was processed by SPSS version 16.0 and analyzed by Chi-square test. The result showed prevalence of intestinal parasitic infection was 72,7%. The infection caused by Blastocystis hominis (53,5%), Giardia lamblia (30,9%), Trichuris trichura (20,9%), Ascaris lumbricoides (4,3%) and Entamoeba histolytica (2%). Chi-square test did not showed significant difference of prevalence of intestinal parasitic infection and its relationship with consumption water resource (p>0,05). In conclusion, prevalence of intestinal parasitic infection among children in TPA Bantar Gebang was high that mostly caused by Blastocystis hominis. Moreover, consumption water resource had not relationship with prevalence of intestinal parasitic infection.;Intestinal parasitic infection is the most infection in tropic and subtropics regions where sanitation facilities, water and hygiene are inadequate. Limited of consumption water resource is estimated to be the cause of high infection. Children is a susceptible population of intestinal parasitic infection. The aim of this study was determine the prevalence of intestinal parasitic infection among children and its relationship with consumption water resource. This study was conducted in TPA Bantar Gebang Bekasi, West Java on 2012. The method of study was cross-sectional. Data was collected by questioner and stool examination on 139 children within 0-15 years old. Stool examination was determined using Kato Kats method and intestinal protozoa identification technique using lugol or eosin solution. Data was processed by SPSS version 16.0 and analyzed by Chi-square test. The result showed prevalence of intestinal parasitic infection was 72,7%. The infection caused by Blastocystis hominis (53,5%), Giardia lamblia (30,9%), Trichuris trichura (20,9%), Ascaris lumbricoides (4,3%) and Entamoeba histolytica (2%). Chi-square test did not showed significant difference of prevalence of intestinal parasitic infection and its relationship with consumption water resource (p>0,05). In conclusion, prevalence of intestinal parasitic infection among children in TPA Bantar Gebang was high that mostly caused by Blastocystis hominis. Moreover, consumption water resource had not relationship with prevalence of intestinal parasitic infection., Intestinal parasitic infection is the most infection in tropic and subtropics regions where sanitation facilities, water and hygiene are inadequate. Limited of consumption water resource is estimated to be the cause of high infection. Children is a susceptible population of intestinal parasitic infection. The aim of this study was determine the prevalence of intestinal parasitic infection among children and its relationship with consumption water resource. This study was conducted in TPA Bantar Gebang Bekasi, West Java on 2012. The method of study was cross-sectional. Data was collected by questioner and stool examination on 139 children within 0-15 years old. Stool examination was determined using Kato Kats method and intestinal protozoa identification technique using lugol or eosin solution. Data was processed by SPSS version 16.0 and analyzed by Chi-square test. The result showed prevalence of intestinal parasitic infection was 72,7%. The infection caused by Blastocystis hominis (53,5%), Giardia lamblia (30,9%), Trichuris trichura (20,9%), Ascaris lumbricoides (4,3%) and Entamoeba histolytica (2%). Chi-square test did not showed significant difference of prevalence of intestinal parasitic infection and its relationship with consumption water resource (p>0,05). In conclusion, prevalence of intestinal parasitic infection among children in TPA Bantar Gebang was high that mostly caused by Blastocystis hominis. Moreover, consumption water resource had not relationship with prevalence of intestinal parasitic infection.]

Abstrak :
Giardiasis adalah infeksi parasit yang disebabkan oleh Giardia intestinalis, yang pada umumnya dialami oleh anak-anak. Giardia intestinalis merupakan penyebab infeksi terbanyak di negara berkembang, termasuk Indonesia yang berdampak pada tumbuh kembang anak dan fungsi kognitifnya serta dapat menjadi sumber infeksi (carrier) bagi lingkungannya. Pemeriksaan yang dipakai pada penelitian ini dengan mikroskopik langsung dan pemeriksaan coproantigen, untuk mendiagnosis Giardiasis. Adapun tujuan dari penelitian ini adalah mengevaluasi pemeriksaan coproantigen pada anak-anak dengan stunting dengan dan tanpa gejala dibandingkan dengan pemeriksaan mikroskopik. Penelitian ini bersifat uji diagnosis pada coproantigen dengan mikroskopik sebagai standar baku pemeriksaan Giardiasis dengan desain potong lintang. Penelitian ini menggunakan sampel koleksi pada populasi anak stunting di Bandung yang dikumpulkan pada bulan Januari-Maret 2020 kemudian dilakukan pemeriksaan di Departemen Parasitologi FKUI. Pada pemeriksaan mikroskopik langsung pada 99 sampel anak dengan stunting didapatkan hasil positif Giardia intestinalis 9,1% (9 sampel), Blastocyst hominis 3% (3 sampel), Entamoeba coli 1% (1 sampel) sedangkan pemeriksaan coproantigen didapatkan 6 sampel positif (6,1%), dan negatif ada 93 sampel (93,9%). Nilai sensitivitas coproantigen 55,5%, sedangkan spesifisitasnya 98,8%, PPV 83,33%, NPV 95,7%. Kesimpulannya pada alat tersebut memiliki spesifisitas tinggi, namun sensitivitas masih rendah sehingga diperlukan alat diagnostik yang lain, namun bisa dipakai sebagai alat skrining pada anak-anak sehingga dapat mencegah kejadian kurang gizi (stunting), karena paling cepat dan bisa dalam jumlah sampel yang besar. Penggunaan alat ini masih perlu dilakukan penelitian lanjutan. Untuk saat ini alat diagnostik yang tepat sebagai standar baku menggunakan pemeriksaan mikroskopik karena lebih murah dan dapat mendeteksi tidak hanya satu parasit saja, namun bisa pada beberapa parasit, namun membutuhkan keahlian dari individu. ......Giardiasis is a parasitic infection caused by Giardia intestinalis, which is commonly experienced by children. Giardia intestinalis is the most common cause of infection in developing countries, including Indonesia, which has an impact on children's growth and development and cognitive function and can be a source of infection (carrier) for the environment. The examination used in this study was direct microscopy and coproantigen examination, to diagnose Giardiasis. The purpose of this study was to evaluate coproantigen examination in stunted children with and without symptoms compared with microscopic examination. This study is a diagnostic test on coproantigen with a microscope as the standard for Giardiasis examination with a cross-sectional design. This study uses a sample collection of the stunting child population in Bandung which was collected in January-March 2020 and then examined at the Department of Parasitology FKUI. On direct microscopic examination of 99 samples of children with stunting, the positive results were Giardia intestinalis 9.1% (9 samples), Blastocyst hominis 3% (3 samples), Entamoeba coli 1% (1 sample) while the coproantigen examination found 6 positive samples 6 samples. (6,1%), and negative there were 93 samples (93.9%). The sensitivity value of coproantigen was 55.5%, while the specificity was 98.8%, PPV 83.33%, NPV 95.7%. The conclusion is that this tool has high specificity, but its sensitivity is still low, so another diagnostic tool is needed, but it can be used as a screening tool in children so that it can prevent stunting, because it is the fastest and can be in a large number of samples. The use of this tool still needs further research. For now, the right diagnostic tool as a standard is using microscopic examination because it is cheaper and can detect not only one parasite, but can be in several parasites, but requires expertise from the individual.