scholarly journals Pengaruh Terapi Antituberkulosis Fase Intensif Terhadap Status Gizi Penderita Tuberkulosis Anak di RSUP Haji Adam Malik Medan Tahun 2018

2021 ◽  
Vol 2 (2) ◽  
pp. 97-103
Author(s):  
Yuriza Fadila ◽  
Fathia Meirina

Background: Tuberculosis (TB) is one of the 10 main causes of death from infectious diseases. Indonesia is among the 3 countries with the highest TB incidence in the world. The proportion of pediatric TB patients in North Sumatra Province is 2%. Antituberculosis therapy is a treatment used in TB patients. Successful diagnosis and treatment can prevent millions of deaths each year. Low endurance and malnutrition are factors that influence the possibility of someone becoming a TB patient. This situation can disrupt growth in children. Child growth can be monitored through nutritional status assessments. Objectives: This study aims to determine the effect of intensive phase antituberculosis therapy on the nutritional status of children with tuberculosis in Haji Adam Malik General Hospital Medan in 2018. Methods: This study uses an observational analytic method using a retrospective cohort design, using secondary data derived from medical records at Haji Adam Malik General Hospital Medan in 2018. Data obtained will then be processed and analyzed by the Wilcoxon test using a data processing program. The Wilcoxon test had a significant result (p = 0.001). Results: The mean increase in nutritional status after being given antituberculosis therapy in the age group of children 0-1 years and >1-5 years is a good nutritional status. The mean weight gain after being given antituberculosis therapy in the age group of children 0-1 years was 7.81 kg and >1-5 years was 15.32 kg. The pattern of a child's weight gain after reaching antituberculosis during the intensive phase has increased. Conclusion: In this study, it was found that antituberculosis therapy affected the nutritional status of children with tuberculosis during the intensive phase. Keywords: antituberculosis therapy, child growth, childhood TB, infectious disease   Latar Belakang: Tuberkulosis (TB) merupakan salah satu dari 10 penyebab utama kematian dari golongan penyakit infeksi. Indonesia termasuk 3 negara dengan angka kejadian TB tertinggi di dunia. Proporsi pasien TB anak di Provinsi Sumatera Utara sebesar 2%. Terapi OAT merupakan tatalaksana yang digunakan pada pasien TB. Diagnosis dan pengobatan yang berhasil dapat mencegah jutaan kematian setiap tahunnya. Daya tahan tubuh yang rendah dan malnutrisi merupakan faktor yang mempengaruhi kemungkinan seseorang menjadi pasien TB. Keadaan ini dapat menyebabkan terganggunya pertumbuhan pada anak. Pertumbuhan anak dapat dipantau melalui penilaian status gizi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh terapi antituberkulosis fase intensif terhadap status gizi penderita tuberkulosis anak di RSUP Haji Adam Malik Medan tahun 2018. Metode: Penelitian ini menggunakan metode analitik observasional dengan menggunakan desain kohort retrospektif, menggunakan data sekunder yang berasal dari rekam medik di RSUP Haji Adam Malik Medan tahun 2018. Data yang diperoleh selanjutnya akan diolah dan dianalisis dengan uji Wilcoxon menggunakan program pengolahan data. Uji Wilcoxon memiliki hasil yang signifikan (p = 0,001). Hasil: Rerata peningkatan status gizi setelah diberikan terapi antituberkulosis pada kelompok usia anak 0-1 tahun dan > 1-5 tahun adalah berstatus gizi baik. Rerata peningkatan berat badan setelah diberikan terapi antituberkulosis pada kelompok usia anak 0-1 tahun adalah 7,81 kg dan > 1-5 tahun adalah 15,32 kg. Pola kenaikan berat badan anak setelah terapi antituberkulosis selama fase intensif mengalami peningkatan. Kesimpulan: Pada penelitian ini didapatkan bahwa terapi antituberkulosis berpengaruh terhadap status gizi anak penderita tuberkulosis selama fase intensif. Kata Kunci: penyakit infeksi, pertumbuhan anak, TB anak, terapi OAT


2018 ◽  
Vol 5 (4) ◽  
pp. 1497 ◽  
Author(s):  
Anil Kumar Tiwari ◽  
Anil Kumar Jaiswal ◽  
Kumar Saurabh ◽  
Priyanka . ◽  
Supriya .

Background: Severe Acute malnutrition (SAM) with severe wasting remains a major killer of children. In Bihar 48% of children are stunted, 21 % are wasted and 7% are severely wasted. Even during the first six months of life, 31% are wasted. Under nutrition generally decreases with the increasing mother’s schooling, better nutritional status of the mother. Stunting and under nutrition are higher in rural areas than in urban areas.Methods: It is a hospital based observational study done between June 2017 to December 2017. A total of 55 SAM patients with medical complications in the age group of 6 months to 60 months admitted in Nutritional Rehabilitation center (NRC), Department of Pediatrics, Patna Medical College, Patna were included in the study. Socio-Economic profile, effectiveness of NRC in treating SAM children, and effect of timely initiation of complementary feed on nutritional status of children were assessed.Results: A total of 55 children were admitted in the NRC of PMCH, Patna during the period of June 2017 to Dec 2017. 56.4% were males and 43.6% were females. 36% o were in the age group of 12months to 24months. 78% belonged to below poverty line. Major medical complications were anemia (53%), LRTI (33%) and acute gastroenteritis (29%). Immunisation was complete in only 45%. In only 53% babies Complimentary feeding was initiated after 6 months of age. 67% of the mothers of SAM children were illiterate. 95% children were discharged after gaining proper weight. Defaulter rate was 4% and death rate was 2%. 78% of the admitted children showed good weight gain i.e.>10 gm/kg/day, whereas in 15% children weight gain was in the range of 5-10 gm/kg/day.Conclusions: Many factors such as literacy, income, age of marriage and sanitation facility indirectly or directly influence the nutritional status of children. NRCs provide life-saving care for children with SAM as demonstrated by the high recovery rate (95%).



2021 ◽  
Vol 8 ◽  
Author(s):  
Awoere T. Chinawa ◽  
Josephat M. Chinawa ◽  
Chika Onyinyechi Duru ◽  
Bartholomew F. Chukwu ◽  
Ijeoma Obumneme-Anyim

Background: Malnutrition poses a great burden to children in the tropics. However, this seems to be accentuated in children with congenital heart disease.Objectives: The present study is therefore aimed at determining the nutritional status of children with congenital heart disease and to compare them with those without congenital heart disease.Methods: This is a cross-sectional study, where congenital heart disease was diagnosed by means of echocardiograph. Anthro software was used to calculate Z scores for weight for age (WAZ), height for age (HAZ), and weight for height (WHZ). Body mass index (BMI) was calculated by the formula BMI = Weight (Kg)/height (M2).Results: The body mass index-for-age z-score (BAZ) and height/length-for-age z-score (HAZ) were calculated for both subjects and controls to determine their nutritional status. It was observed that 38.5% (112/291) of the subjects were wasted (BAZ < −2SD) compared to 6.25% (16/256) of the controls and the difference was statistically significant (χ2 = 81.2, p < 0.001). Stunting (height/length-for-age z-score < −2SD) was also observed in a greater proportion of subjects than controls as 37.8% (107/291) of subjects were stunted compared with 7.0% (18/256) of the controls (χ2 = 69.9, p < 0.001). The under-five subjects had more cases of malnutrition than the controls of same age group as illustrated in Table 6. Whereas 42.9% (96/224) of the under-five subjects were wasted, only 6.2% (12/192) of the controls were wasted. On the other hand, 4.2% (8/192) of the under-five controls were obese compared to 0.9% (2/224) of the subjects of similar age group.Conclusion: Children with congenital heart disease present with varying degrees of malnutrition that is worse compared with children without congenital heart disease. The impact of malnutrition is worse among children under the age of five. Wasting is more prevalent in children with cyanotic heart disease compared with those with acyanotic congenital heart disease. Overweight and obesity were notable features of malnutrition in children with congenital heart disease, but this is worse in children without congenital heart disease.



2021 ◽  
Vol 1 (2) ◽  
pp. 99-103
Author(s):  
Nela Židić ◽  
Nada Tomasović Mrčela

AIM: to determine whether there is a difference in the level of nutritional status of children across age groups, which would indicate the need for a change in caloric values of daily menus that are currently the same for all age groups in kindergartens in Split. PARTICIPANTS AND METHODS: The study was conducted during June 2020 in “Grigor Vitez” kindergarten in Split. All parents were asked to voluntarily complete a questionnaire with a guarantee of anonymity. The data on height and weight of children were used to calculate the nutritional indicators: the body mass index (BMI) and the percentile curves of the body mass index (% BMI), defined by gender and age. RESULTS: Data for 128 children aged 3 - 6.99 of the kindergarten "Grigor Vitez" were analyzed. Children in the selected kindergartens did not differ significantly in relation to the level of their nutritional status across age groups (3 – 3.99 years, 4 – 4.99 years, 5 – 5.99 years, 6 – 6.99 years). The highest average percentile was determined (60.30) in the age group of children aged 6.00 - 6.99, which is 12.89 points higher than the average value of the percentile of children aged 3.00 - 3.99 years, while no difference was found by testing (F = 0.936; p = 0.426). CONCLUSION: Only percentile values were compared between kindergarten groups, and so it can be concluded that meals may have appropriate energy values, which should be checked by analyzing the menus, and comparing them with the recommendations.



Author(s):  
Dr. Pratibha Patil ◽  
Dr. Sanjay Patil

Poor nutritional status and inadequate food intake during and prior to pregnancy not only affect Women’s health but also have negative impact on growth and development of fetus.  The birth weight of an infant is a powerful predictor of growth and survival of infant and is dependent on maternal health and nutritional status, pre-pregnancy weight and general weight gain are all strongly associated with fetal growth and development. So, improving maternal nutrition prior to conception and during pregnancy are potential strategies to improve birth weight. The Present study has been carried out to discuss the circumstances under which the effect of maternal nutrition on birth weight can be observed, and to determine the specific contributors of calories and protein to birth weight. Materials and methods: The present study has been carried out at Teaching Medical College and hospital to find out correlation between various factors responsible for maternal weight gain and nutrition with birth weight of baby and to standardize diet chart for pregnant mothers in rural area. The study included 100 women who were followed up from 8 to 10 week of pregnancy till delivery. Anthropometric measurements including maternal weight, height and total weight gain in pregnancy and infant’s birth weight were recorded and all mothers were interviewed for their bio-social variables. Results: The mean birth weight is below 2.4 kg in age <19 years and in 30 years and above, it is >2.5 kg.  The mean birth weight in primipara is 2.4 kg and then it gradually increased maximum up to 2.6 kg in multipara. The mean birth weight in 2.4 kg in mothers below 145cm.Above that till 160 cm there is steady increase in birth weight up to 3.08 kg. The mean birth weight was lowest in cases where maternal weight is below 40 kg and it reached maximum 3 kg in weight group 60-69 kg. The mean birth weight is 2.4 kg in weight gain between 5-9 kg and maximum up to 3 kg in weight gain between 15-19 kg. The mean birth weight is 3.2 kg in high socioeconomic group and 2.2 kg in low socioeconomic group. Conclusion: There is definite relation between maternal age, parity, height, pre-pregnancy weight, weight gain during pregnancy, socioeconomic status and daily dietary intake per day and birth weight of baby. So health policies should be aimed at early detection and effective management of under nutrition to reduce the burden of low birth weight babies and there is a need to focus attention on better maternal nutrition and education on birth spacing, early pregnancy and family planning.



2021 ◽  
Vol 12 (1) ◽  
pp. 65-72
Author(s):  
Megha Suresh ◽  
Swati Jain ◽  
Neena Bhatia Kaul

The present study was conducted to assess the usefulness of MUAC as a screening tool to assess nutritional status during pregnancy (>20 weeks).  Pregnant women (>20 weeks of gestation, n=100) were enrolled from tertiary care ANC clinics in urban areas of Delhi. Data on socio-demographic profile was collected using pre-tested questionnaires. The blood pressure and anthropometric parameters (weight, height and MUAC) were recorded. The mean height, weight and MUAC of pregnant women were 152.15 ± 4.93cm, 56.7 ± 6.7Kgs and 25.5 ± 2.60cm respectively. Weight gain between trimesters and overall weight gain showed no correlation with blood pressure. Maternal weight was positively correlated with MUAC (p=0.00), SBP (p=0.006) and DBP (p=0.02). Maternal height was negatively correlated with MUAC (p=0.012). BMI and MUAC showed a significantly positive correlation (p=0.00), which indicates the versatility of this tool. However, no association was observed between MUAC and blood pressure during pregnancy in the present study.



2021 ◽  
Vol 10 (1) ◽  
pp. 7-11
Author(s):  
Neny Neny Yuli Susanti

The mothers role in protecting nutritional condition of children is by increasing their knowledge about nutrition. The lack of mothers knowledge about nutrition and health is one of many causes of the lack nutrition of children. This research aimed to identify the increase of mothers knowledge about nutritional status of children in the age of 0-2 years old after the practice of pocket book about parenting in Sumberejo Village, Banyuputih Situbondo 2018. The design used in this research is cross sectional research, held at Sumberejo Village. This research used total sampling method which is 40 mothers who had children with 0-2 years old. The data was collected by qustionaire, done in may 2018, further processing and analysis using statistic test by spss software calles “Wilcoxon test” in which the level of maximization <0,05 the result shown that p value was 0,00 < 0,05, that means H0 is rejected and so, there are improvement of mother knowledge about children nutritional status after given the pocket book about parenting in Sumberejo Village, Banyuputih Situbondo.



e-CliniC ◽  
2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Kevin H. Hosang ◽  
Adrian Umboh ◽  
Hesti Lestari

Abstract: Toddler is one of the nutritional vulnerable population groups that easily suffer from health problems and malnutrition. In this age group, children are in growth and development cycle that requires nutrients in larger amounts than any other age groups. To overcome the problem of malnutrition in this age group, they should be supported with supplementary food. Pemberian makanan tambahan (PMT) is a program of intervention to infants suffering from malnutrition with a goal to improve the nutritional status as well as the nutritional needs of children to achieve the nutritional status and condition of good nutrition in accordance with the children's age. PMT for children aged 0-59 months is as an addition and not as a substitute of main daily meals. This study was aimed to determine the relationship of supplementary feeding to changes in the nutritional status of children under 5 years with malnutrition at health centers in Manado. This was an analytical retrospective study. Subjects were 70 children under 5 years with malnutrition fed with rice, biscuits, green beans, and milk for 90 days. The results showed that there was a very significant relationship between PMT and the changes in nutritional status of children under 5 years with malnutrition at health centers in Manado.Keywords: feeding (PMT), toddler, child nutritional status Abstrak: Balita merupakan salah satu golongan penduduk rentan gizi yang paling mudah menderita gangguan kesehatan dan kekurangan gizi. Kelompok usia tersebut berada pada suatu siklus pertumbuhan atau perkembangan yang memerlukan zat-zat gizi dalam jumlah yang lebih besar dari kelompok umur yang lain. Untuk mengatasi masalah gizi pada kelompok usia tersebut perlu diselenggarakan pemberian makanan tambahan (PMT). PMT merupakan program intervensi terhadap balita yang menderita kurang gizi yang bertujuan untuk meningkatkan status gizi anak dan mencukupi kebutuhan zat gizi anak sehingga tercapainya status gizi dan kondisi gizi yang baik sesuai dengan usia anak tersebut. PMT bagi anak usia 0-59 bulan sebagai tambahan, bukan sebagai pengganti makanan utama sehari-hari. Penelitian ini bertujuan untuk mengetahui hubungan pemberian makanan tambahan terhadap perubahan status gizi anak balita gizi kurang di Puskesmas-puskesmas di Kota Manado. Jenis penelitian ialah analitik retrospektif. Subjek penelitian ialah 70 anak balita gizi kurang yang mendapatkan PMT berupa beras, biskuit, kacang hijau, dan susu selama 90 hari. Hasil penelitian menunjukkan bahwa PMT berpengaruh sangat bermakna terhadap perubahan status gizi anak balita gizi kurang di puskesmas-puskesmas Kota Manado.Kata kunci: PM), balita, status gizi, balita gizi kurang



1970 ◽  
Vol 9 (2) ◽  
pp. 102-105 ◽  
Author(s):  
RM Rajbandari ◽  
O Lewis ◽  
R Singh ◽  
S Smith

Background: Prevalence of malnutrition is high in Nepal. Early intervention improves outcome of children. Objectives: To study the occurrence of the malnutrition in under five children coming to the OPD at BPKIHS and to find out the age group & sex most severely affected by malnutrition. Methods: A descriptive cross sectional hospital-based study was carried out from 2003-04. 500 children aged 1-5 years were taken as a sample The children needing emergency care were excluded. The Indian Academy of Pediatrics (IAP) and WHO classification were used for grading malnutrition. Results: Total patient were 500 aged 1-5 yrs group. Total malnutrition cases were 124 with a prevalence of 24.8% .Malnutrition was highest in 3-4 years group (33.3%). Conclusion: It is found that total malnutrition cases were about 24.8%.A more elaborate and community based study would help to find prevalence of malnutrition in children of Eastern Nepal. Keywords: nutritional status; PEM; affected by malnutrition DOI: http://dx.doi.org/10.3126/hren.v9i2.4982 Health Renaissance 2011: Vol.9 (No.2): 102-105



2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong

This is an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Research results show that among the 5 factors of the scale measuring quality of life in Vietnam, the factor of anxiety and sadness was the least recorded by patients. Up to 96.5% of subjects did not feel the presence of this factor.Up to 42.7% of the subjects felt a little element of pain and discomfort. Married people living with family had higher quality of life scores than single or separated/divorced people. The older the age group, the lower the mean score of quality of life (p<0.05). People with higher incomes had higher quality of life scores than those with lower incomes (p<0.05).



2012 ◽  
Vol 20 (3) ◽  
pp. 462-468 ◽  
Author(s):  
Ana Paula Sayuri Sato ◽  
Elizabeth Fujimori

This study described the nutritional status of 228 pregnant women and the influence of this on birth weight. This is a retrospective study, developed in a health center in the municipality of São Paulo, with data obtained from medical records. Linear regression analysis was carried out. An association was verified between the initial and final nutritional status (p<0.001). The mean of total weight gain in the pregnant women who began the pregnancy underweight was higher compared those who started overweight/obese (p=0.005). Weight gain was insufficient for 43.4% of the pregnant women with adequate initial weight and for 36.4% of all the pregnant women studied. However, 37.1% of those who began the pregnancy overweight/obese finished with excessive weight gain, a condition that ultimately affected almost a quarter of the pregnant women. Anemia and low birth weight were uncommon, however, in the linear regression analysis, birth weight was associated with weight gain (p<0.05). The study highlights the importance of nutritional care before and during pregnancy to promote maternal-infant health.



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