Hubungan Status Gizi dengan Derajat Keparahan Pneumonia pada Pasien Balita Rawat Inap di Rumah Sakit Al-Ihsan
Abstract
Abstract. Pneumonia is an acute respiratory infection with high morbidity and mortality in children under 5 years of age, especially in developing countries. One of the risk factors for pneumonia is nutritional status. The objective of this study was to know the relationship between nutritional status and severity of pneumonia in under-five patients hospitalized at Al-Ihsan Hospital. The research design used an analytic observational method with a cross-sectional approach. Data was taken from the medical records of pediatric pneumonia patients at Al-Ihsan Regional Hospital for the period January 2017-September 2020. The total subjects were 47 children aged 2-59 months who met the inclusion and exclusion criteria. The Nutritional status was determined based on the WHO Child Growth Standard (WCGS) reference weight/age index, while the severity of pneumonia is determined based on WHO criteria. The results showed that most children under five in this study had good nutritional status (74.5%), the children under 5 years of age with good nutritional status mostly experienced pneumonia severity (68.1%), and children under 5 years of age with underweight and severely underweight mostly experienced severe or very severe pneumonia (17.0%). Bivariate analysis with Chi Square showed a relationship between nutritional status and the severity of pneumonia in under-five patients hospitalized at Al-Ihsan Hospital (p<0.05). Children under 5 years of age with underweight and severely underweight can increase the severity of pneumonia.
Keywords: Degree of pneumonia, nutritional status, under-five children
Abstrak. Pneumonia merupakan infeksi saluran pernapasan akut dengan morbiditas dan mortalitas cukup tinggi pada anak usia di bawah 5 tahun, terutama di negara berkembang. Salah satu faktor risiko dari pneumonia adalah status gizi. Tujuan penelitian ini untuk mengetahui hubungan status gizi dengan derajat keparahan pneumonia pada pasien balita rawat inap di Rumah Sakit Al-Ihsan. Desain penelitian ini menggunakan metode observational analitik dengan pendekatan cross-sectional. Data diambil dari rekam medis pasien pneumonia anak di RSUD Al-Ihsan periode Januari 2017–September 2020. Total subyek penelitian berjumlah 47 balita berusia 2-59 bulan yang memenuhi kriteria inklusi dan eksklusi. Status gizi ditetapkan berdasarkan indeks BB/U rujukan standar grafik pertumbuhan anak WHO, sedangkan derajat keparahan pneumonia ditentukan berdasarkan kriteria WHO. Hasil penelitian menunjukkan sebagian besar balita dalam penelitian ini memiliki status gizi baik (74.5%), balita dengan status gizi baik sebagian besar mengalami derajat keparahan pneumonia (68.1%), dan balita dengan gizi kurang dan buruk sebagian besar mengalami derajat keparahan pneumonia berat atau sangat berat (17.0%). Analisis bivariat dengan chi square menunjukkan terdapat hubungan antara status gizi dengan derajat keparahan pneumonia pada pasien balita rawat inap di Rumah Sakit Al-Ihsan (p<0,05). Balita dengan status gizi kurang dan buruk dapat meningkatkan derajat keparahan pneumonia.
Kata Kunci: Balita, derajat keparahan pneumonia, status giziKeywords
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Guidelines WHO. WHO interim guidelines. Infect prev control epidemic- pandemic-prone acute Respir Dis Heal care [Internet]. 2007;6(June):1–90. Tersedia dari: www.who.int/csr/resources/publications/WHO_CDS_EPR_2007_6c.pdf
Gray D, Zar HJ. Childhood pneumonia in low and middle income countries: Burden, prevention and management. Open Infect Dis J. 2010;4(1):74–84.
WHO. Pneumonia [Internet]. www.who.int. 2019 [diunduh 02 Februari 2020]. Tersedia dari: https://www.who.int/news-room/fact-sheets/detail/pneumonia
Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ. 2008;86(5):408–16.
Ghimire M, Bhattacharya SK, Narain JP. Pneumonia in South-East Asia region: Public health perspective. Indian J Med Res. 2012;135(4):459–68.
Forsberg P. Pneumonia among hospitalized children aged 1-9 Years. Sahlgrenska Acad Gothenbg Univ Sweden 2012. 2012;1–28.
Nurnajiah, M., Rusdi. D. Hubungan status gizi dengan derajat pneumonia pada balita di RS.Dr.M. Djamil Padang. J Kesehat Andalas [Internet]. 2016;5(1):250–5. Tersedia dari: http://jurnal.fk.unand.ac.id
Artawan A, Purniti PS, Sidiartha IGL. Hubungan antara status nutrisi dengan derajat keparahan pneumonia pada pasien Anak di RSUP Sanglah. Sari Pediatr. 2016;17(6):418.
Arpitha G, Rehman M, Ashwitha G. Effect of severity of malnutrition on pneumonia in childern aged 2 M-5Y at a tertiary care center in Khammam, Andhra Pradesh: a clinical study. Sch J Appl Med Sci. 2014;2:3199–203.
Kementerian Kesehatan RI. Hasil Utama RISKESDAS 2018. 2018;23. Tersedia dari: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Kementerian kesehatan republik Indonesia. Data dan informasi profil kesehatan Indonesia 2018.
WHO. Revised WHO classification and treatment of childhood pneumonia at health facilities: Evidence Summaries [Internet]. World Health Organization. 2014. 26 p. Tersedia dari: https://apps.who.int/iris/bitstream/handle/10665/137319/9789241507813_eng.pdf;jsessionid=2089DD8EDCA2FD8BFBF8678DB27578FA?sequence=1
Cripps AW, Otczyk DC, Barker J, Lehmann D, Alpers MP. The relationship between undernutrition and humoral immune status in children with pneumonia in Papua New Guinea. P N G Med J. 2008;51(3–4):120–30.
Almatsier S. Prinsip dasar ilmu gizi. Jakarta: Gramedia pustaka utama; 2010. 22–24 p.
Nurwijayanti. Keterkaitan kekurangan energi protein (KEP) dengan kejadian infeksi saluran pernafasan akut (ISPA) pada balita usia (1-5 Tahun). J Care. 2016;4(3):6-30.
Shahunja KM, Ahmed T, Hossain MI, Das SK, Faruque ASG, Islam MM, et al. Factors associated with pneumonia among overweight and obese under-five children in an urban hospital of a developing country. Glob Pediatr Heal. 2016;3:2333794X1667252.
Umano GR, Pistone C, Tondina E, Moiraghi A, Lauretta D, Miraglia del Giudice E, et al. Pediatric obesity and the immune System. Front Pediatr. 2019;7(November):1–9.
Wicaksono H. Nutritional status affects incidence of pneumonia in underfives. Folia Medica Indones. 2016;51(4):285.
Dockrell DH, Whyte MKB, Mitchell TJ. Pneumococcal pneumonia: Mechanisms of infection and resolution. Chest. 2012;142(2):482–91.
Schlenker elanor, Roth S. Williams Essential of Nutrition and Diet Theraphy. 10th ed. United States of America: Elsevier Mosby; 2011.
Kementrian Kesehatan. Standar Antropometri Penilaian Status Gizi Anak. Standar Antropometri Penilaian Status Gizi Anak. 2010. p. 40.
Garina LA, Putri SF, Yuniarti. Hubungan faktor risiko dan karakteristik gejala klinis dengan kejadian pneumonia pada balita. Glob Med Heal Commun. 2016;4(1):26–32.
DOI: http://dx.doi.org/10.29313/kedokteran.v7i1.26623
