Transmission Media of Foodborne Diseases as an Index Prediction of Diarrheagenic Escherichia coli: Study at Elementary School, Surabaya, Indonesia

Fariani Syahrul, Chatarina U. Wahyuni, Hari B. Notobroto, Eddy B. Wasito, Annis C. Adi and Febi Dwirahmadi
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Fariani Syahrul: Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Chatarina U. Wahyuni: Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Hari B. Notobroto: Department of Biostatistic, Faculty of Public Health Universitas Airlangga, Surabaya 60115, Indonesia
Eddy B. Wasito: Department of Microbiology, Faculty of Medicine Universitas Airlangga, Surabaya 60115, Indonesia
Annis C. Adi: Department of Nutrition, Faculty of Public Health Universitas Airlangga, Surabaya 60115, Indonesia
Febi Dwirahmadi: Center for Environment and Population Health, School of Medicine, Griffith University, Queensland 4215, Australia

IJERPH, 2020, vol. 17, issue 21, 1-13

Abstract: Foodborne diseases (FBDs) have a large disease burden among children. The major type of FBD in children is diarrhea, caused mainly by contaminated food. One of the diarrhea pathogens is Diarrheagenic Escherichia coli (DEC). The aim of this study was to establish a model of microbial prediction (DEC) in stool, caused by the transmission of FBDs in elementary schoolchildren. An observational analytic study was conducted, with a nested case-control study design. In Stage I, the study population was children in a selected elementary school at Surabaya. The sample size for Stage I was 218 children. In Stage II, the case sample was all children with a positive test for DEC (15 children), and the control sample was all children who had tested negative for DEC (60 children). The result of the laboratory tests showed that the proportion of DEC in children was 6.88% (15 of 218 children) and the proportion of Escherichia coli O157:H7 in children was only 0.46%. The most significant mode of transmission included in the model was the snacking frequency at school and the risk classification of food that was often purchased at school. The formulation of the predicting model of DEC in stool can be used as an early warning against the incidence of FBDs in elementary schoolchildren.

Keywords: children; diarrheagenic Escherichia Coli; foodborne diseases (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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