Environmental factors associated with Oncomelania hupensis lindoensis snails in a schistosomiasis-endemic area in Napu, Central Sulawesi.

The presence of the freshwater snail Oncomelania hupensis lindoensis in their habitats is influenced by abiotic environmental factors (nutrients, water salinity, and predators) that play a crucial role in maintaining snail survival. The objective of this study is to determine the relationship between environmental factors and the presence of O. hupensis lindoensis snails in the Napu Valley, one of the Schistosomiasis-endemic areas in Indonesia. Eight environmental factors were measured in three different habitats: a seepage, a ditch, and a pond. The study found O. hupensis lindoensis snails in all three habitats, with significant differences in their numbers (p < 0.05). The seepage habitat had the highest snail density (762.22 snails per m2) compared to the other habitats. Phosphorus levels were highest in the seepage habitat compared to the other habitats, while nitrogen levels were highest in the pond habitat. Pearson correlation analysis found a significant positive correlation between O. hupensis lindoensis snails and water salinity in the ditch habitat (p < 0.05). In addition to environmental factors, the presence of snails can also be influenced by other factors, such as the presence of snail predators, the presence of snail nutrients, and the population of snail host niche competitors.

Strain identification of Mycobacterium tuberculosis in multidrug-resistant tuberculosis (MDR-TB) patients at Undata Hospital, Palu, Central Sulawesi.

MDR-TB is a tuberculosis disease resistant to the two most effective anti-TB drugs, rifampin and isoniazid. MDR-TB is a threat to TB control. This study aims to identify the Mycobacterium tuberculosis strain in MDR-TB patients at Undata Hospital in Palu, Central Sulawesi. This type of research is descriptive and observational with a cross-sectional design. The study was conducted in Palu City, Donggala Regency, and Sigi Regency from April-June 2021. The sample in this study consisted of 22 patients who had undergone MDR-TB treatment from 2019 to 2020. The results showed that 55% of the patients with MDR-TB lived in Palu City, 27% in Donggala Regency, and 18% in Sigi Regency. Out of the 22 patients, 13 were men (59%) and nine were women (41%). Based on the results of the examination of Mycobacterium tuberculosis culture, three samples from patients with MDR-TB were positive for M. tuberculosis. The results of the spoligotyping examination showed that the strain belonged to the Beijing family. Identifying the type of M. tuberculosis strain through spoligotyping examination should be carried out in TB patients who have not undergone MDR-TB treatment or those who have failed treatment and are still found to be positive for M. tuberculosis bacteria.