Page 80 - Abstract Book KONIKA 18

Infection & Tropical Diseases

O-ITD-009
The Role of Repeated Education with Video-Film Media
with Soil-transmitted Helminth Reinfection Rate in Primary School Children
in Two Sub Districts In Mandailing Natal Regency, North Sumatera Province

1
1
Rizky Keumala Ansari Nasution , Gema Nazri Yanni , Arlinda Sari Wahyuni , Aridamuriany Lubis ,
2
1
1
Hendri Wijaya , Badai Buana Nasution , Inke Nadia Diniyanti Lubis 1
1
1
Department of Child Health and Department of Community Medicine , Faculty of Medicine, Universitas Sumatera
2
Utara, Medan,North Sumatera, Indonesia
Abstract
Background School-age and pre-school-age children are vulnerable and have the highest risk of being infected
with soil-transmitted helminth (STH) with severe intensity. Despite the mass drug administration (MDA)
programme, the prevalence of STH infection increases and returns to the proportion prior to the MDA. Health
education using a video film has shown to reduce infection rate by 50%. Objective To investigate the role of
repeated video education on the rate of STH re-infection in elementary school children. Methods The study
was done on school children in SDN Sikapas at Mandailing Natal Regency, North Sumatera province from
March to November 2019. Film education was given four-monthly in a year period, and a questionnaire and
STH infection were also evaluated at the same time. The data were analyzed utilizing estimation-type logistic
regression. Results A total of 238 children were included in the study. Re-infection of STH occurred in 21.4%
of children, with A. lumbricoides to be the most common species. The prevalence of A. lumbricoides at
baseline, month 4, 8 and 12 are 70%, 16%, 6% and 9%, respectively. Conclusion Education has a role in
reducing the prevalence of STH infection in general but it is not the strongest independent factor. It increases
the knowledge on STH transmission among children however without sufficient sanitation and the support
to implement good hygiene such as access to clean water and soap. STH reinfections may continue to occur.
Keywords: reinfection; soil transmitted helminth; education; primary school children

O-ITD-010
Childhood Obesity to Pediatric COVID-19 Severity: A Systematic Review

Sutria Nirda Syati , Christine Yohanna Sianturi 2
1
Sumber Makmur Primary Health Care, North Maluku and RSCK Tzu Chi, Banten, West Java , Indonesia
1
2
Abstract
Background Increasing numbers of reports have linked obesity to more severe COVID-19 illness and death
in adults, while questions remain regarding childhood comorbidities and associated COVID-19 outcomes.
Although, epidemiologic studies have consistently demonstrated that children are at lower risk of developing
severe symptoms compared with adults but children have represented 14.2% of total cumulated SARS-CoV-2
cases. It is emerging to investigate the effects of comorbidities on COVID-19 severity, especially obesity
in pediatric population. Objective To elucidate a better understanding between obesity and COVID-19 on
the pediatric population. Methods A systematic literature review was conducted in the English language
published study using PubMed, Cochrane, and Google Scholar search within the last two years. Any relevant
articles were reviewed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews
and Meta-Analyses). All studies that met criteria where analyzed the contribution of childhood obesity and
COVID-19 severity. Results Five observational studies including three retrospectives, one prospective, and
one cross sectional altogether describing total of 44.360 pediatric patients with COVID-19 were included
in this systematic review. Of the patients whose data was available, 1127 patients (3%) with obesity as
comorbidity with median age range from 4 years old to 14 years old. Around 1067 patients (95%) were
inpatient encountered and 445 patients (39%) were admitted to critical care. Conclusion Obesity seems to
worsen the effect of COVID-19 in children and prone to have higher risk of severe condition than children
without underlying comorbidities. Additional studies are required to further evaluate this relationship.
Keywords: COVID-19; obesity; pediatrics; severity

34 KONIKA XVIII Abstract Book