Asia Pacific Journal of Pediatric and Child Health

Abstract Ref Number = APCP1143

Poster Presentation

CORRELATION BETWEEN TUBERCULOSIS AND NUTRITIONAL STATUS AMONG CHILDREN IN NORTH LOMBOK, WEST NUSA TENGGARA, INDONESIA

Bela siska Afrida,Melissa Ronaldi,I Nyoman Supadma,Putu Indah Budi Hapsari North Lombok Hospital West Nusa Tenggara Indonesia North Lombok Hospital, West Nusa Tenggara, Indonesia Department og Microbiolgy anda Parasitology, Medical Faculty of Warmadewa University, Bali, Indonesia

Background : Tuberculosis (TB) and malnutrition are the main causes of morbidity and mortality among children in developing countries. The 2016 Global TB report of the WHO, Indonesia is the most second Pulmonary TB suffers in the world, after India. North Lombok has the highest number of childhood TB cases in West Nusa Tenggara with 14% cases of all cases in West Nusa Tenggara. Malnutrition is also the major problem in West Nusa Tenggara, North Lombok is the third highest number of malnourished children. Malnutrition increases the risk of Tuberculosis. This study aimed to analyzed the correlation between tuberculosis and nutritional status among children in North Lombok, West Nusa Tenggara, Indonesia. Material : This cross sectional study recruited child TB aged under 18 years as participants. Total 130 children were identified, 65 children with tuberculosis and 65 healthy children as control. Pulmonary TB was diagnosed by clinical signs and symptoms (TB Scoring) and bacteriologically confirmed TB. Extrapulmonary (Lymphadenopathy) TB was diagnosed by symptoms-based diagnostic approach, in the absence of an acceptable gold standard test (Biopsy). Nutritional status was assessed using WHO and CDC chart. Results : This study showed that Pulmonary TB was present in 72,3% of cases, Extrapulmonary TB was 16%, and mixed Pulmonary and Extrapulmonary TB were 2%. Undernutrition child was found 63,1% of cases, malnutrition child was found in 29.2% of cases. There was significant correlation between tuberculosis and malnutrition among children (p<0,05). The highest proportion of TB was in children under five years (52,3%). Results : This study showed that Pulmonary TB was present in 72,3% of cases, Extrapulmonary TB was 16%, and mixed Pulmonary and Extrapulmonary TB were 2%. Undernutrition child was found 63,1% of cases, malnutrition child was found in 29.2% of cases. There was significant correlation between tuberculosis and malnutrition among children (p<0,05). The highest proportion of TB was in children under five years (52,3%). Conclusions : Tuberculosis is strongly correlated with malnutrition among children.

Keywords: Tuberculosis Children Malnutrition