Asia Pacific Journal of Pediatric and Child Health

Abstract Ref Number = APCP986

Poster Presentation

PROFILE OF INFECTION DISEASE THAT ACCOMPANIED THE OUTBREAK OF SEVERE ACUTE MALNUTRITION IN ASMAT DISTRICT, PAPUA

IWayan Gustawan ,Abed Ricky Hernando,Eka Yusuf Inra Kartika ,Sri Riyanti ,Jeanne Rini Poespoprodjo RSUP SanglahBali Department of Child Health, Faculty of Medicine Universitas Gadjah Mada, Sardjito General Hospital, Yogyakarta, Indonesia Department of Child Health, Faculty of Medicine Universitas Hasanuddin, Wahidin Sudiro Husodo General Hospital, Makassar, Indonesia Department of Child Health, Waisai General Hospital, Raja Ampat, West Papua Department of Child Health, Mimika General Hospital, Timika, Papua

Background : Severe acute malnutrition (SAM) affects nearly twenty million of children under 5 years, causing up to 1 million death each year by the increasing of susceptibility to death due to severe infection. Infectious diseases in SAM are still a major problem especially in developing countries. One of the problems was the presence of infectious disease following SAM outbreak in Asmat. The aim of this study has been to find out the profile of infectious diseases that followed the outbreak of SAM in Asmat district, Papua Material : A cross sectional study, carried out in Agats General Hospital in Asmat district, Papua from January 23th – February 2nd 2018. All children with SAM were enrolled in this study. Variables recorded were demographic, anthropometry, and accompanying infectious diseases Results : A total of 111 children were admitted to Agats hospital, 78 (70.3%) with SAM and 100% was marasmic type. Among these patients 57 (51.4%) were males and 54 (48.6%) were females.The age was classified into 0-12 months, 13-60 months, >60 months with total 36 (32.4%), 61 (55.0%), 14 (12.6%) respectively. The most common comorbidity was malaria 42 (37.8%), followed by pneumonia (34.2%) and anemia (34.2%), respectively. The finding species of malaria were M. falciparum 62%, M. vivax 38% and 7% by both species. Other infections were measles in 18 patients (16.2%), tuberculosis 11 patients (9.9%), ascariasis 10 patients (9%), skin infection 4 patients (3.6%), acute otitis media 1 patient (0.9%) and bacterial meningitis in 1 patient (0.9%). Seventy-five patients (67.6%) had more than one infection. Conclusions : Malaria and pneumonia are common infections found in SAM. Large incidence of infectious disease in children with SAM should be concerned in management of SAM

Keywords: Severe acute malnutrition infectious disease children