Giardiasis in daycare centers at Rancabali tea plantation, Bandung District, Indonesia
Keywords:
Giardia lamblia, daycare center, stool specimen, tea plantation
Abstract
Background In developing countries, the prevalence of giardia-sis in daycare centers is considerably high. There had been inad-
equate report of giardiasis in Indonesia.
Objective To know the prevalence of giardiasis in children and
the number of children with symptomatic and asymptomatic giar-
diasis who attended daycare centers at Rancabali tea plantation,
Bandung district.
Methods This descriptive study was conducted in daycare cen-
ters between August to October 2002. Giardiasis was defined as
the occurrence of G. lamblia cyst in stool specimen independent
from the presence or absence of symptoms. Four of 12 daycare
centers were chosen by cluster random sampling. All children aged
1 to 60 months attending daycare and staying for at least 2 weeks
were included in this study. Three consecutive stool specimen pre-
served by 10% formalin, concentrated by formalin ether, were ex-
amined microscopically to find the G. lamblia cyst.
Results Giardia lamblia cysts were found in 27 (29%) of the 92
children attending the daycare centers at Rancabali tea plantation
(95%CI 20;38.6%). Of these children, 15 showed symptoms such
as diarrhea episodes (8 children), diarrhea (5 children), bloating (5
children), abdominal cramp (5 children), and vomiting (3 children).
Three children showed mild to moderate malnutrition. Ten children
aged 13 to 36 month-old with G. lamblia-positive stool showed such
symptoms.
Conclusion The prevalence of G. lamblia infection in children at-
tending daycare centers at Rancabali tea plantation was almost
similar with other place in developing countries. More than half of
patients had symptomatic disease
References
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Infect Dis Clin North Am 1993;7:503-19.
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J, Naggan L. Giardia lamblia carriage in Israeli Bedouin
infants: risk factors and consequences. Clin Infect Dis
2000;30:419-24.
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WE, Behrman RM, Kliegman RM, Jenson HB, editors.
Nelson textbook of pediatrics; 16 th ed. Philadelphia:
WB Saunders Co; 2000. p. 1036-8.
11. Pickering LK, Engelkirk PG. Giardia lamblia. Pediatr
Clin North Am 1988;35:565-77.
12. Wright SG. Giardiasis. In: Strickland GT, editor.
Hunter’s tropical medicine; 7 th ed. Philadelphia: WB
Saunders Co; 1991. p. 565-9.
13. Boyd RF, Hoerl BG. The protozoa. In: Boyd RF, Hoerl
BG, editors. Basic medical microbiology; 4 th ed. Lon-
don: Little, Brown and Co; 1991. p. 805-14.
14. Keating JP. Giardiasis. In: Feigin RD, Cherry JD, edi-
tors. Textbook of pediatric infectious diseases; 3 rd ed.
Philadelphia: WB Saunders Co; 1992. p. 2032-5.
P. Occurrence of Giardia lamblia in children in daycare
centers. J Pediatr 1984;104:522-6.
2. Bartlett AV, Moore M, Gary GW, Starko KM, Erben
JJ, Meredith BA. Diarrheal illness among infants and
todlers in daycare centers. I. Epidemiology and patho-
gens. J Pediatr 1985;107:495-502.
3. Horowicz MI, Korman SH, Shapiro M, Har-Even U,
Tamir I, Strauss N, et al. Asymptomatic giardiasis in
children. Pediatr Infect Dis J 1989;8:773-9.
4. Turner JA. Giardiasis and infections with Dientamoeba
fragilis. Pediatr Clin North Am 1985;32:865-75.
5. Rauch AM, Van Rory, Bartlett AV, Pickering LK. Lon-
gitudinal study of Giardia lamblia infection in a daycare
center population. Pediatr Infect Dis J 1990;9:186-9.
6. Ortega YR, Adam RD. Giardia: overview and update.
Clin Infect Dis 1997;25:545-9.
7. Farthing MJG, Cevalos AM, Kelly P. Intestinal protozoa.
In: Cook GC, editor. Manson‘s tropical diseases; 20 th ed.
Philadelphia: WB Saunders Co; 1996. p. 1271-81.
8. Hill DR. Giardiasis: issue in diagnosis and management.
Infect Dis Clin North Am 1993;7:503-19.
9. Fraser D, Bilenko N, Dechelbaum RJ, Dagan R, El-On
J, Naggan L. Giardia lamblia carriage in Israeli Bedouin
infants: risk factors and consequences. Clin Infect Dis
2000;30:419-24.
10. Pickering LK. Giardiasis and balantidiasis. In: Nelson
WE, Behrman RM, Kliegman RM, Jenson HB, editors.
Nelson textbook of pediatrics; 16 th ed. Philadelphia:
WB Saunders Co; 2000. p. 1036-8.
11. Pickering LK, Engelkirk PG. Giardia lamblia. Pediatr
Clin North Am 1988;35:565-77.
12. Wright SG. Giardiasis. In: Strickland GT, editor.
Hunter’s tropical medicine; 7 th ed. Philadelphia: WB
Saunders Co; 1991. p. 565-9.
13. Boyd RF, Hoerl BG. The protozoa. In: Boyd RF, Hoerl
BG, editors. Basic medical microbiology; 4 th ed. Lon-
don: Little, Brown and Co; 1991. p. 805-14.
14. Keating JP. Giardiasis. In: Feigin RD, Cherry JD, edi-
tors. Textbook of pediatric infectious diseases; 3 rd ed.
Philadelphia: WB Saunders Co; 1992. p. 2032-5.
Published
2016-09-26
How to Cite
1.
Widajanti E, Garna H, Chairulfatah A, Hudaya D. Giardiasis in daycare centers at Rancabali tea plantation, Bandung District, Indonesia. PI [Internet]. 26Sep.2016 [cited 20Apr.2024];43(5):158-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/685
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Received 2016-09-24
Accepted 2016-09-24
Published 2016-09-26
Accepted 2016-09-24
Published 2016-09-26
