Skip to main content
Bulletin of the World Health Organization logoLink to Bulletin of the World Health Organization
. 1966;34(2):197–210.

Diarrhoea among infants in a crowded area of Djakarta, Indonesia

A longitudinal study from birth to two years

Lie Kian Joe, B Rukmono, Sri Oemijati, K Sahab, K W Newell, Sie Ting Hway, R Widodo Talogo
PMCID: PMC2475927  PMID: 5296127

Abstract

Diarrhoeal diseases are common in Djakarta, Indonesia, especially among infants and young children. A study has been made of possible bacterial and parasitic causes of outbreaks in a group of 156 infants in a crowded area of the city. Before the study was complete, 60 infants had left the area and 30 had died; diarrhoea was probably the direct or indirect cause of 13 of the deaths.

Diarrhoea was associated with pathogenic Escherichia coli in about 20% of the cases studied; other causes of diarrhoea were Shigella, less frequent, and rare among infants below the age of 6 months; Salmonella, insignificant; Giardia lamblia, common, but not usually associated with diarrhoea; Entamoeba histolytica and Isospora belli, relatively rare. The role of Trichuris trichiura was probably important, but was difficult to assess.

Many diarrhoea cases were not associated with either pathogenic bacteria or parasites. Other potential causes, not considered in this study, include enteropathogenic virus infection, parenteral infections, faulty diet and malnutrition. Further investigation is considered desirable.

Full text

PDF
200

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BRUMPT L. C. Deductions cliniques tirées de cinquante cas d'ankylostomose provoquée. Ann Parasitol Hum Comp. 1952;27(1-3):237–249. [PubMed] [Google Scholar]
  2. JOE L. K., SAHAB K., HIN P. S. Escherichia coli type O111 :B4 and type O55 :B5 in Djakarta, Indonesia; epidemiological aspects. J Trop Pediatr (1967) 1958 Jun;4(1):20–27. doi: 10.1093/oxfordjournals.tropej.a057490. [DOI] [PubMed] [Google Scholar]
  3. JOE L. K., SAHAB K., YAUW G. S., MAKALIWY C. Diarrhea among infants and children in Djakarta, Indonesia, with special reference to pathogenic Escherichia coli. Am J Trop Med Hyg. 1960 Nov;9:626–632. doi: 10.4269/ajtmh.1960.9.626. [DOI] [PubMed] [Google Scholar]
  4. JUNG R. C., BEAVER P. C. Clinical observations on Trichocephalus trichiurus (whipworm) infestation in children. Pediatrics. 1951 Oct;8(4):548–557. [PubMed] [Google Scholar]
  5. LIE K. J., GAN-OEI S. Y., SUKARNO-SOSROSEWOJO Y. H. [Resistance of Shigellae to sulfa drugs and antibiotics in Indonesia]. Madjalah Kedokt Indones. 1961 Jan;11:1–6. [PubMed] [Google Scholar]
  6. SABIN A. B. CAUSE AND CONTROL OF FATAL, INFANTILE DIARRHEAL DISEASES. Am J Trop Med Hyg. 1963 Jul;12:556–566. doi: 10.4269/ajtmh.1963.12.556. [DOI] [PubMed] [Google Scholar]
  7. SAHAB K., JOE L. K. The occurrence of Escherichia coli type O111 :B4 and type O55 :B5 in Djakarta, Indonesia. J Trop Pediatr (1967) 1958 Jun;4(1):28–33. doi: 10.1093/oxfordjournals.tropej.a057491. [DOI] [PubMed] [Google Scholar]
  8. TALOGO R. W., SIHOMBING G. [Investigations of the quality of the drinking water and the socio-economic conditions of the families in Tanah Tinggi Ward, Djarkata]. Madjalah Kedokt Indones. 1961 Apr;11:160–171. [PubMed] [Google Scholar]
  9. TAYLOR J. The diarrhoeal diseases in England and Wales, with special reference to those caused by Salmonella, Escherichia and Shigella. Bull World Health Organ. 1960;23:763–779. [PMC free article] [PubMed] [Google Scholar]
  10. WINSHIP W. S. Whipworm dysentery in children and its treatment with dithiazanine iodide. S Afr Med J. 1959 Apr 25;33(17):354–357. [PubMed] [Google Scholar]

Articles from Bulletin of the World Health Organization are provided here courtesy of World Health Organization

RESOURCES