Nutritional Status and Severity of Pneumonia among Inpatient of Children Under Five Years

Dayu Swasti Kharisma, Balqis Al Sakina Zahra

Abstract


Background: The prevalence of pneumonia in developing countries continues to increase, especially in Indonesia. One of the factors that influence the severity of pneumonia is nutritional status. Malnutrition increases susceptibility to infection. Purposes: This study aimed to determine the relationship between nutritional status and pneumonia severity in children under five. Methods: This research was an analytic study with a cross-sectional design. The data were taken from the medical records of pneumonia patients under five years of age who were hospitalized at the Infectious Disease Hospital Prof. Dr. Sulianti Saroso for January 2018 to October 2019. Bivariate analysis was performed using the chi-square test. Results: Out of 68 patients who met the inclusion criteria, the highest age range was 0-11 months (50%), the most gender was female (55.9%), the group with the highest cases was the severe pneumonia group (73.5%), the most nutritional status was abnormal nutrition (55.9%). There are 86.8% of patients with abnormal nutritional status suffer from severe pneumonia. Conclusion: There is a relationship between nutritional status and pneumonia severity.


Keywords


children; nutritional status; pneumonia

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Nurnajiah M, Rusdi R, Desmawati D. Hubungan Status Gizi dengan Derajat Pneumonia pada Balita di RS. Dr. M. Djamil Padang. Jurnal Kesehatan Andalas. 2016;5(1):250–5.

Nascimento-Carvalho CM. Commu nity-acquired pneumonia among children: the latest evidence for an updated management. J Pediatr (Rio J). 2020;96:29–38.

Awasthi S, Rastogi T, Pandey AK, Roy C, Mishra K, Verma N, et al. Epidemiology of Hypoxic Community-Acquired Pneumonia in Children Under 5 Years of Age: An Observational Study in Northern India. Front Pediatr. 2022;9.

Johar D, Day AG, Ziegler EE. Clinical Presentation of Malnourished Patients with Pneumonia Requiring Prolonged Ventilatory Support. International Journal of Clinical Pediatrics. 2016;5(2):19–28.

Purnama MY, Farchiyah EN. Hubungan Status Gizi dengan Derajat Keparahan Pneumonia pada Pasien Balita Rawat Inap di Rumah Sakit Al-Ihsan. 2017;341–7.

Syahniar R, Nabila AN, Kharisma DS, Akbar MA. Comparison between monotherapy and combination therapy among inpatients with community-acquired pneumonia. Jurnal Ilmiah Farmasi. 2021;17(1):56–63.

Susila INW, Suryawan IWB, Widiasa AAM. Association between Nutritional Status and Severity of Pneumonia among Children under Five Years attending Wangaya District Hospital. Warmadewa Medical Journal. 2021;6(1):30–6.

Ruwandasari N. Correlation between Severe Malnutrition and Pneumonia among Under-Five Children in East Java. Jurnal Berkala Epidemiologi. 2019;7(2):120.

Chowdhury F, Shahid ASMS Bin, Ghosh PK, Rahman M, Hassan MZ, Akhtar Z, et al. Viral etiology of pneumonia among severely malnourished under-five children in an urban hospital, Bangladesh. PLoS One. 2020;15(2):6–18.

Akuzawa N, Naito H. Nutritional parameters affecting severity of pneumonia and length of hospital stay in patients with pneumococcal pneumonia: A retrospective cross-sectional study. BMC Pulm Med. 2015;15(1):1–7.

WHO. Pneumonia [Internet]. 2021. Available from: https://www.who. int/news-room/fact-sheets/detail/ pneumonia#:~:text=In children under 5 years,the chest expands during inhalation.

Ngaisyah RD, Avianty S. The Implementation of Complimentary Food on Stunted Children. Muhammadiyah Medical Journal. 2020;1(1):1-9

Ginsburg AS, Foundation MG, Box PO, Berkley JA, Walson JL. Europe PMC Funders Group Undernutrition and pneumonia mortality. 2019;3 (12):15–7.

Ginsburg AS, Izadnegahdar R, Berkley JA, Walson JL, Rollins N, Klugman KP. Undernutrition and pneumonia mortality. Lancet Glob Health. 2015;3(12):e735–6.

Kirolos A, Blacow RM, Parajuli A, Welton NJ, Khanna A, Allen SJ, et al. The impact of childhood malnutrition on mortality from pneumonia: A systematic review and network meta-analysis. BMJ Glob Health. 2021;6(11):1–8.

Dewi PRA, Biantara IGYP, Windiyanto R. Recurrent pneumonia in malnourished children. Int J Res Med Sci. 2022;10(2):519.

M R DrS, M R DrP, B. DrT. The severity of malnutrition among children with pneumonia and diarrhoea: moderate acute malnutrition- a neglected entity. Pediatric Review: International Journal of Pediatric Research. 2020;7(2):80–6.

Rahajoe NN. Buku Ajar Respirologi Anak. 1st editio. Jakarta Pusat: Ikatan Dokter Anak Indonesia; 2018.

Artawan A, Purniti PS, Sidiartha IGL. The Relationship between Nutritional Status with Pneumonia Severity in Children at Sanglah Hospital, Bali, Indonesia. Sari Pediatri. 2016;17(6):418.

Firdaus FS, Chundrayetti E, Nurhajjah S. Hubungan Status Gizi, Umur, dan Jenis Kelamin dengan Derajat Pneumonia pada Balita di RSUP Dr. M. Djamil Padang Periode Januari 2018 – Desember 2018. Jurnal Ilmu Kesehatan Indonesia. 2021;2(1):143–50.

Darwin E. Immunologi dan Infeksi. Padang: Andalas University Press; 2006.

Adriani A, Simarmata VP. The Relationship between Nutritional Status and Degree of Pneumonia in Toddlers at Universitas Kristen Indonesia General Hospital. Journal of Drug Delivery and Therapeutics. 2022;12(3-S):129–33.

Andini L, Nurfadly N. Correlation between Soil Transmitted Helminth Infection with Nutritional Status in Elementary School at Deli Serdang Regency North Sumatera. Muhammadiyah Medical Journal. 2021 May 31;2(1):7-14.

Katona P, Katona-Apte J. The interaction between nutrition and infection. Clinical Infectious Diseases. 2008;46(10):1582–8.

Masrizal MA. Effects of Protein-Energy Malnutrition on the Immune System. MAKARA of Science Series. 2010;7(2):69–73.

Rytter MJH, Kolte L, Briend A, Friis H, Christensen VB. The immune system in children with malnutrition - A systematic review. PLoS One. 2014;9(8).

Walson JL, Berkley JA. The impact of malnutrition on childhood infections. Curr Opin Infect Dis. 2018;31(3):231–6.

Elsayh KI, Sayed DM, Zahran AM, Saad K, Badr G. Effects of pneumonia and malnutrition on the frequency of micronuclei in peripheral blood of pediatric patients. Int J Clin Exp Med. 2013;6(10):942–50.

Susanti M, Juliaty A. Marasmus and stunting in 2-month-old boy with pneumatocele. Universa Medicina. 2021;40(3):263–9.

Rahman S, Khatun A, Azhar B, Rahman H, Hossain S. A Study on the Relationship between Nutritional Status and Prevalence of Pneumonia and Diarrhea among Preschool Children in Kushtia. Pediatrics Research International Journal. 2014;2014:1–10.




DOI: https://doi.org/10.24853/mmj.3.2.40-46

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