Page 360 - Abstract Book KONIKA 18

Nutrition & Metabolic Diseases

P–NMD–005
Characteristics of Pediatric Patients with Severe Malnutrition at Jailolo General
Hospital

2
3
1
M. S. Islam , A. Ningrum , L. Tengguna , E. S. Supraptiningsih 4
1
General Practitioner, Jailolo General Hospital, West Halmahera, North Moluccas and Tangerang General Hospital,
2
Tangerang, Banten, West Java , Pediatric Resident, Department of Child Health Gajah Mada Universitas Medical
3
School/Dr. Sardjito Hospital, Yogyakarta, Central Java , Pediatrician, Jailolo General Hospital, West Halmahera, North
4
Moluccas , Indonesia
Abstract
Background Severe malnutrition in children remain an immense health concern. Based on National Health
Survey in 2018, the incidence of severe malnutrition among children under 5 years was 17.7%. Nationally,
North Moluccas is in the 3rd region with the most cases of severe malnutrition in children under 2 years
and the 11th under 5 years with a proportion of 6.5% and 5.6% respectively. Objective To determine the
characteristics of patients with severe malnurition at Jailolo General Hospital. Methods A cross-sectional
study in which data were taken from the medical records of pediatric patients from January 2020 to June
2021. Results We collected 22 data of children with severe malnutrition consisting of13 females and 9 males
with average age was 23.3 ± 30.6 months. The prevalence of severe malnutrition patients in pediatric ward
is 3.42%. The majority of patients come from young family wih low economic status, live in rural area, and
family with low education level. The most common comorbidity is Anemia (63.6%), Pneumonia (36.3%),
Tuberculosis (18.1%), Congenital Heart Defect (13.6%), Central Nervous System disorder (9%), Kidney
disorder (9%), Human Immunodeficiency Virus infection (4.5%), Gastrointestinal defect (4.5%). Conclusion
Management of severe malnutrition needs to be done holistically by looking at the social conditions of the
family, environment and comorbidities. It takes an active role from families and health workers to detect
early growth faltering in order to prevent the development of malnutrition.
Keywords: malnutrition; comorbid

P–NMD–006

Marasmic Type Protein Energy Malnutrition with Hydranencephaly
and Cerebral Palsy in An 8-year-5-month-old Girl
Husni Esa, Aidah Juliaty, Desty Mauliani, Merlyn Meta
Department of Children’s Health, Faculty of Medicine, Hasanuddin Universitas/Dr. Wahidin Sudirohusodo Hospital,
Makassar, South Sulawesi, Indonesia
Abstract
Background Hydranencephaly is a condition in which all parts of the brain are not formed where only
cerebrospinal fluid is present. It causes growth and development disorders in children. The absence of the part
of the brain that is in charge of regulating motor skills can cause cerebral palsy and feeding difficulties causing
children to become malnourished. Objective To report a child with hydranencephaly with complications of
malnutrition and cerebral palsy. Case An 8 years old female was admitted to WahidinSudirohusodo hospital
due to severe malnutrition with hydranencephalyand cerebral palsy. She had a significant weight loss since
3 months prior to admission. She hadhead enlargement and global developmental delay since 3 months old.
Herweight was 14 kg (73.6%= wasted), height 110 cm (84%=short stature), and upper arm circumference/
age of 56.4% (severely wasted). Nutritional status was severemalnutrition.Laboratorium result showed iron
deficiency anemia, and head CTScanshowedhydranenecephaly. She was givensevere malnutrition treatment
based on World Health Organization (WHO) guidelinesand iron supplementation. We monitored and evaluated
her nutritional status, development, and ferritin level. Conclusion Malnutrition, a manifestation caused by
insufficient food intake, can occur due to impaired oro-motor function in patients with hydranencephaly.

Keywords: severe malnutrition; hydranencephaly; cerebral palsy

312 KONIKA XVIII Abstract Book