Measles-Related Pneumonia Association on Severely Wasting Children
In developing countries, measles is a highly contagious infectious disease that is transmitted through droplets or aerosols and can be fatal in complicated cases. Risk factors attributable to measles severity include age, nutritional and immunization status. Children who are severely wasting are more likely to develop measles-related complications; one of the most frequent complications is pneumonia, which is responsible for most measles-related morbidity and mortality. Through this study, we aim to assess the association between severely wasting nutritional status and the complications of measles-related pneumonia. A retrospective cohort analytic study of 45 children aged 1 to ≤ 60 months old was conducted. The study was conducted based on measles prevalence data in Hermina Podomoro General Hospital Paediatric Ward in the period April 2022 – March 2023. Nutritional status was assessed through WHO W/H Z-Score for children ≤ 60 months old. Pneumonia complication was diagnosed by clinical findings and chest radiograph. Data analysis was performed using the chi-square test with IBM SPSS Statistics Version 27. There were 39 children included in this study. Children aged >48 – £ 60 months had the highest proportion of confirmed measles cases (30.8%). Measles clinical symptoms of koplik’s spot, macopapular rash, and fever were found in all enrolled patients. We found 64.1% of patients had severely wasting nutritional status, with 53.8% cases undergoing pneumonia complications, and 46.1% of enrolled patients had both severely wasting nutritional status and pneumonia complications. Analytic bivariate analysis found a statistically significant association between severely wasting nutritional status and pneumonia complication (p=0.02, p<0.05). There is an association between severely wasting nutritional status and the complication of pneumonia in children with measles.