Karakteristik, Gambaran Klinis, dan Outcome Pneumonia pada Anak di RSUD Al-Ihsan Tahun 2022-2023
Abstract
Abstract. Pneumonia is a leading cause of death in children, especially in developing countries. In 2019, WHO noted that pneumonia caused the deaths of 740,180 children under the age of 5 years. In Indonesia, 503,738 under-fives were infected with pneumonia. This study aimed to explore the characteristics, clinical features, and outcomes of pneumonia in children at Al-Ihsan Hospital, Bandung Regency during 2022-2023. Methods: Observational study with a cross-sectional design, at Al-Ihsan Hospital, Bandung Regency in 2022-2023 which was presented descriptively. Results: The most common age was aged >1 month-11 months 47 patients, the majority were male 64 patients, the most common chief complaint was cough 111 patients and not tachypnea 85 patients, the mean pulse rate <5 years was tachycardia, the leukocyte count in all age groups was within normal limits, rotgen photos were more bilateral bronchopneumonia, the mean body temperature was 37.4°C, the most common outcome was recovery 113 patients, the most commonly used antibiotics were ampicillin + gentamicin 72 patients. Conclusion: Pneumonia in children is more common in the age of >1 month-11 months, with the majority of patients being male. The main complaint was cough, and most patients were without tachypnea, the mean pulse rate of <5 years was tachycardic,leukocyte counts in all age groups were within normal limits, rotgen photos were more bilateral bronchopneumonia and subfebrile body temperature, the antibiotics often used were ampicillin + gentamicin, Outcome most patients recovered.
Abstrak. Pneumonia adalah penyebab utama kematian pada anak-anak, terutama di negara berkembang. Pada 2019, WHO mencatat pneumonia menyebabkan kematian 740.180 anak di bawah usia 5 tahun. Di Indonesia, 503.738 balita terinfeksi pneumonia. Penelitian ini bertujuan untuk menggali karakteristik, gambaran klinis, dan outcome pneumonia pada anak di RSUD Al-Ihsan Kabupaten Bandung selama 2022-2023. Metode: Penelitian observasional dengan desain cross-sectional, di RSUD Al-Ihsan Kabupaten Bandung tahun 2022-2023 yang dipresentasikan secara deskripsi. Hasil: Usia terbanyak yaitu berusia >1 bulan–11 bulan 47 pasien, mayoritas laki-laki 64 pasien, keluhan utama terbanyak adalah batuk 111 pasien dan tidak takipneu 85 pasien, rerata laju nadi <5 tahun adalah takikardi, jumlah leukosit pada semua kelompok usia dalam batas normal, foto rotgen lebih banyak bronchopneumonia bilateral, rerata suhu tubuh 37,4°C, outcome terbanyak adalah sembuh 113 pasien, antibiotik yang sering digunakan adalah ampicillin + gentamicin 72 pasien. Kesimpulan: Pneumonia pada anak lebih banyak terjadi pada usia >1 bulan–11 bulan, dengan mayoritas pasien laki-laki. Keluhan utama adalah batuk, dan sebagian besar pasien tanpa takipneu, rerata laju nadi <5 tahun adalah takikardi, jumlah leukosit pada semua kelompok usia dalam batas normal, foto rotgen lebih banyak bronchopneumonia bilateral dan suhu tubuh subfebris, antibiotik yang sering digunakan adalah ampicillin + gentamicin, Outcome sebagian besar pasien sembuh.
References
World health organization: WHO. “Pneumonia in children”. 2022 Nov 11.
B. Corica, F. Tartaglia, T. D’Amico, G. F. Romiti, and R. Cangemi, Sex and gender differences in community-acquired pneumonia, Springer Science and Business Media Deutschland GmbH. 2022 Sep;17(6):1575-88.
Main CS. “Acute pneumonia and its complications. Elsevier ebook.2017 Jul 18: 238-249.”.
D. Sofia, A. Husin, and E. Marliyani, “Gambaran Karakteristik Pasien Pneumonia pada Anak Balita yang Dirawat Inap di RSUD Al-Ihsan Kabupaten Bandung pada Tahun 2018-2019”, 2021 Feb;7(1).
N. Afifah Usri et al., “Karakteristik Pasien Comunity Acquired Pneumonia Pada Pasien Balita di Rumah Sakit Ibnu Sina Makassar Tahun 2020-2022.” 2024;5(1).
J. Kesehatan, O. Monita, F. F. Yani, and Y. Lestari, “Profil Pasien Pneumonia Komunitas di Bagian Anak RSUP DR. M. Djamil Padang Sumatera Barat,” 2015;4(1).
R. Roselany and E. Surjono, “Pneumonia Clinical Features in Under-Five Children Treated in Atma Jaya Hospital in 2017-2020,” Majalah Kedokteran Bandung, 2023 Mar; 55(1).
A. Surjono, T. Wibowo, E. Dewi Lestari, and D. Wastoro, “The role of indoor air pollution and other factors in the incidence of pneumonia in under-five children.” 2004 Jan;44(1).
A. Naheed, R. F. Breiman, M. Saimul Islam, S. K. Saha, and R. T. Naved, “Disparities by sex in care-seeking behaviors and treatment outcomes for pneumonia among children admitted to hospitals in Bangladesh,” PLoS One. 2019 Mar;14(3).
E. Pertama, P. : Nastiti, R. Bambang, S. Darmawan, and B. Setyanto, “Buku Ajar Respirology Anak,” 2010.
C. T. Kaunang et al., “Gambaran karakteristik pneumonia pada anak yang dirawat di ruang perawatan intensif anak RSUP Prof. Dr. R. D. Kandou Manado periode 2013-2015,” 2016;4(2).
T. Juvén, O. Ruuskanen, and J. Mertsola, “Symptoms and signs of community-acquired pneumonia in children,” Scand J Prim Health Care. 2003 Mar;21(1):52-56.
“Nurjannah N, Sovira N, Anwar S Profil Pneumonia pada Anak di RSUD dr Zainoel Abid, study restrospektif. Sari pediatri.”, 2012;13(5).
S. Aulia Zahra and A. S. Nur Radityo, “Pengaruh Durasi Kangaroo Mother Care Terhadap Perubahan Tanda Vital Bayi.”, 2018 May;7(2):1182-91.
P. M. Meyer Sauteur, “Childhood community-acquired pneumonia,” Springer Science and Business Media Deutschland GmbH. 2024 Mar;183(3):1129–36.
S. Biomedical Journal, Setiawan, Pikir RS, Utami RR, and Varidianto R, “2024 / Profil Pasien Anak Balita Dengan Pneumonia Di Rspal Dr. Ramelan Surabaya Periode Januari,” 2024 Mei 31;3(3).
M. Hassen et al., “Radiologic Diagnosis and Hospitalization among Children with Severe Community Acquired Pneumonia: A Prospective Cohort Study,” Biomed Res Int. 2019 Jan 9.
R. Simbalista, D. C. Andrade, I. C. Borges, M. Araújo, and C. M. Nascimento-Carvalho, “Differences upon admission and in hospital course of children hospitalized with community-acquired pneumonia with or without radiologically-confirmed pneumonia: A retrospective cohort study,” BMC Pediatr. 2015 Oct 23;15(1).
A. Samuel, “Bronkopneumonia on Pediatric Patient,” Jurnal Kesehatan dan agromedicine unila. 2014 Nov 1; 1(2).
F. Setiadi, S. Kumala, H. Utami R, and A. Subhan, “Analisis Faktor-Faktor yang Mempengaruhi Outcome Terapi Pasien Pneumonia di Rumah Sakit Umum Pusat Fatmawati Jakarta”, Healthy Tadulako Journal (Jurnal Kesehatan Tadulako). 2019;5(3):18–28.
G. Adbela, H. Abdurahman, S. Hailu, M. Keneni, A. Mohammed, and F. Weldegebreal, “Treatment outcome of pneumonia and its associated factors among pediatric patients admitted to Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia,” Front Pediatr. 2024 Apr 26;12.
M. Wetzke et al., “Pathogen spectra in hospitalised and nonhospitalised children with community-acquired pneumonia,” ERJ Open Res. 2023 Mar 1;9(2):00286-2022.
