Host factors related to pneumonia in children under 5 years of age

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Wiharjo Hadisuwarno
Retno Asih Setyoningrum
Pirlina Umiastuti

Abstract

Background Pneumonia has been one of the serious problems for children under five in Indonesia. Imbalanced interactions among host factors, agents, and environments influence incidence of pneumonia. Objective To determine the risks of the host related to the incidence of pneumonia in children aged 3-59 months in Pediatrics Department, Dr. Soetomo General Hospital during 2011-2012. Methods This was a case control study on medical records of patients with respiratory infections in Pediatrics Department, Dr. Soetomo General Hospital. We grouped patients with pneumonia as the case group and patients with other respiratory infections as the control group. The data were statistically processed to calculate odds ratios and P values. Results There were 326 subjects reviewed, 163 in the case group and 163 in the control group. Host factors that increased the risk of pneumonia were: low birth weight (OR=3.10; 95%CI 1.34 to 6.86), inadequate exclusive breastfeeding (OR=1.7; 95%CI 1.09 to 2.64), malnutrition (OR=3.44; 95%CI 2.12 to 5.58) and incomplete immunization in a certain period of age (OR=2.70; 95%CI 1.72 to 4.24). Existed comorbidity was unrelated to the incidence of pneumonia (OR=1.53; 95%CI 0.86 to 2.71). Conclusion Low birth weight, inadequate exclusive breastfeeding, malnutrition, and incomplete immunization in a certain period of age increase the risk of pneumonia.

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1.
Hadisuwarno W, Setyoningrum R, Umiastuti P. Host factors related to pneumonia in children under 5 years of age. PI [Internet]. 1Oct.2015 [cited 26Apr.2018];55(5):248-1. Available from: https://www.paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/44
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References

1. The United Nations Children’s Fund (UNICEF)/World
Health Organization (WHO). Pneumonia: the forgotten
killer of children. Geneva: WHO; 2006. p.10.
2. Badan Penelitian dan Pengembangan Kesehatan, Departemen
Kesehatan Republik Indonesia. Riset kesehatan dasar
(riskerdas): laporan nasional 2007. Jakarta: Kemenkes RI;
2008. p. vii.
3. Dinas Kesehatan Provinsi Jawa Timur. Profil kesehatan
provinsi jawa timur 2010. Surabaya: Dinkes Provisin Jawa
Timur; 2011. p.19.
4. Lwanga SK, Lemeshow S. Sample size determination in health
studies: a practical manual. Geneva: WHO; 1991. p.9-10.
5. Hariyanti I. Hubungan imunisasi campak dengan kejadian
pneumonia pada balita usia 12-59 bulan di rumah sakit islam
pondok kopi jakarta tahun 2010. [thesis]. Depok: Universitas
Indonesia; 2010.
6. Jackson S, Mathews KH, M. Pulanic D, Falconer R, Rudan
I, Campbell H, Nair H. Risk factors for severe acute lower
respiratory infections in children: a systematic review and
meta-analysis. Croat Med J. 2013;54:110-21. DOI: 10.3325/
cmj.2013.54.
7. Alderman H. Sheekar M. Nutrition food security and health consequences of undernutrition. In: Kliegman RM, Stanton
BF, Geme JW St, Schor NF, Behrman RE, editors. Nelson
textbook of pediatrics. 19th ed. Philadelphia: Elsevier Sauders;
2011. p.173.
8. Boccolini CS, Carvalho ML De, Oliveira MIC De, Boccolini
Pde M. Breastfeeding can prevent hospitalization for
pneumonia among children under 1 year old. J Pediatr (Rio
J). 2011;87:399-404. DOI: 10.2223/JPED.2136.
9. Steller N, Bhatia J, Parish A, Stallings VA. Feeding healthy
infants, children and adolescents. In: Kliegman RM, Stanton
BF, Geme JW St, Schor NF, Behrman RE, editors. Nelson
textbook of pediatrics. 19th ed. Philadelphia: Elsevier Sauders;
2011. P.160-1.
10. Badan Penelitian dan Pengembangan Kesehatan, Kementrian
Kesehatan RI. Riset kesehatan dasar (riskesdas) 2013.
Jakarta: Kemenkes RI; 2013. p.211.
11. Onyango D, Kikuvi G, Amukoye E, Omolo J. Risk factors
of severe pneumonia among children aged 2-59 months
in western Kenya: a case control study. Pan Afr. Med.
J. 2012;13:45.
12. Uddin KMF, Jahan N, Mannan MA, Ferdousi SA, Farhana
T, Akhter S, et al. Risk factors determining the outcome
of 2-12 months age group infants hospitalized with severe
pneumonia. Med. Today. 2013;25:9-13.
13. Setyoningrum RA, Setiawati L. Profile of community
acquired pneumonia in children at Soetomo Hospital
Surabaya in 2007-2008. Ind. J. of Trop. and Infect. Dis.
2011;2:12-4.