Faktor-faktor Prediktor Luaran Malaria Berat pada Anak
DOI:
https://doi.org/10.35790/msj.v5i2.45486Abstract
Abstract: Symptoms and severity of malaria infection differ between adults and children. Severe malaria is more common in children than in adults. Severe malaria cases in children can give clinical manifestations that are more fatal, severe and even death. This study aimed to determine the predictor factors of severe malaria outcomes in children. This was a literature review study using Google Scholar database. The results obtained 11 articles that met the inclusion and exclusion criteria. It was found that the clinical form and/or complications of severe malaria, co-infection and severe acute malnutrition could be negative predictors. Conversely, the administration of artemisinin and its derivates can be positive predictors. The intensity of transmission, levels of heme, free hemoglobin, hemopexin, haptoglobin, and sociodemographic factors can also be predictors of severe malaria outcomes in children. In conclusion, there are predictor factors of the outcome of severe malaria in children. Understanding the predictor factors can guide the immediate intervention to avoid poor outcomes and strive for good outcomes or prognosis.
Keywords: predictor factors; severe malaria; signs and symptoms; outcome of malaria in children
Abstrak: Gejala dan keparahan infeksi malaria berbeda pada dewasa dan anak. Infeksi malaria berat lebih sering terjadi pada anak dibandingkan dengan dewasa. Kasus malaria berat pada anak dapat memberikan manifestasi klinis yang lebih fatal, parah bahkan kematian. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang dapat menjadi prediktor terhadap luaran malaria berat pada anak. Jenis penelitian ialah studi literatur yang diambil dari database Google Scholar. Hasil penelitian mendapatkan bahwa bentuk klinis dan/atau komplikasi dari malaria berat, koinfeksi dan malnutrisi akut yang berat dapat menjadi prediktor yang negatif. Sebaliknya, pemberian artemisinin dan derivatnya dapat menjadi prediktor yang positif. Intensitas penularan, kadar heme, hemoglobin bebas, hemopexin, haptoglobin dan faktor sosiodemografi juga dapat menjadi faktor prediktor luaran malaria berat pada anak. Simpulan penelitian ini ialah terdapat faktor-faktor yang dapat menjadi prediktor terhadap luaran malaria berat pada anak. Permahaman terhadap faktor-faktor prediktor dapat menjadi pedoman pada intervensi segera untuk menghindari luaran yang buruk dan mengupayakan luaran atau prognosis yang baik.
Kata kunci: faktor prediktor; malaria berat; gejala dan keparahan infeksi; luaran malaria pada anak
References
The Lancet Regional Health – Southeast Asia. 2030 – Countdown to malaria elimination in India and southeast Asia. Lancet Reg Heal - Southeast Asia. 2022;2:100033.
WHO. Malaria [Internet]. 2022. Available from: https://www.who.int/health-topics/malaria#tab=tab_1
White NJ, Watson JA, Uyoga S, Williams TN, Maitland KM. Substantial misdiagnosis of severe malaria in African children. Lancet [Internet]. 2022;400(10355):807. Available from: http://dx.doi.org/ 10.1016/S0140-6736(22)01600-2
Kementerian Kesehatan Republik Indonesia. Malaria: Penyebab Kematian Tertinggi di Dunia [Internet]. 2022. Available from: https://www.malaria.id/profil
Kementerian Kesehatan Republik Indonesia. Wilayah-wilayah endemis malaria tinggi di Indonesia [Internet]. 2021. Available from: https://www.malaria.id/artikel/wilayah-wilayah-endemis-malaria -tinggi-di-indonesia
Kementerian Kesehatan Republik Indonesia. Program Pencegahan dan Pengendalian Penyakit Dinas Kesehatan Provinsi Sulawesi Utara tahun 2019.
Cohee LM, Opondo C, Clarke SE, Halliday KE, Cano J, Shipper AG, et al. Preventive malaria treatment among school-aged children in sub-Saharan Africa: a systematic review and meta-analyses. Lancet Glob Heal. 2020;8(12):e1499–511.
Forgie EME, Brooks HM, Barton M, Hawkes MT. Pediatric Malaria: Global and North American Perspectives. Pediatric Clinic Of North America. 2022;69(1):47–64.
Mutombo AMT, Luboya ON, Kakoma J, Wembonyama SO. (2018). Severe malaria and death risk factors among children under 5 years at Jason Sendwe Hospital in Democratic Republic of Congo. Pan Afr Med. 2018;29:184. Available from: https://doi.org/10.11604/pamj.2018.29.184.15235
Mensah BHE, Abugri J, Asante KP, Dwomoh D, Dosoo D, Atuguba F, et al. Assessing the impact of differences in malaria transmission intensity on clinical and haematological indices in children with malaria. Malaria Journal. 2017;16(1):1-11. Available from: https://doi.org/10.1186/s12936-017-1745-8.
Mzumara G, Leopold S, Marsh K, Dondorp A, Ohuma EO, Mukaka M. Identifying prognostic factors of severe metabolic acidosis and uraemia in African children with severe falciparum malaria: a secondary analysis of a randomized trial. Malaria Journal. 2021;20(1):1-10. Available from: https://doi.org/10.1186/s12936-021-03785-0
Brisset J, Angendu BK, Watier L, Kinkpé E, Bailly J, Ayédadjou L, et al. Non-traumatic coma in young children in Benin: are viral and bacterial infections gaining ground on cerebral malaria? Infectious Diseases of Poverty. 2022;11(1):1-10. Available from: https://doi.org/10.1186/s40249-022-00956-2.
Hendriksen ICE, Ferro J, Montoya P, Chhaganlal KD, Seni A, Gomes E, et al. Diagnosis, clinical presentation, and in-hospital mortality of severe malaria in HIV-coinfected children and adults in mozambique. Clinical Infectious Diseases. 2012;55(8):1144-53. Available from: https://doi.org/ 10. 1093/cid/cis590.
Jallow M, Casals-Pascual C, Ackerman H, Walther B, Walther M, Pinder M, et al. Clinical features of severe malaria associated with death: a 13-year observational study in the Gambia. PLoS ONE. 2012;7(9):1-8. Available from: https://doi.org/10.1371/journal.pone.0045645
Zaki SA, Shenoy P, Shanbag P, Mauskar A, Patil A, Nagotkar L. Acute renal failure associated with malaria in children. Saudi Journal of Kidney Diseases and Transplantation . 2013;24(2):303-8. Available from: https://doi.org/10.4103/1319-2442.109585.
Elphinstone RE, Riley F, Lin T, Higgins S, Dhabangi A, Musoke C, et al. Dysregulation of the haem-haemopexin axis is associated with severe malaria in a case-control study of Ugandan children. Malaria Journal. 2015;14(1):1-10. Available from: https://doi.org/10.1186/s12936-015-1028-1
Conroy AL, Hawkes M, Elphinstone RE, Morgan C, Hermann L, Barker KR, et al. Acute kidney injury is common in pediatric severe malaria and is associated with increased mortality. Open Forum Infectious Diseases. 2016;3(2):1-9. Available from: https://doi.org/10.1093/ofid/ofw046.
Sagbo GG, Alihonou F, Alao MJ, Tohodjèdé Y, Zohoun L, Bognon G, et al. (2017). The determinants of fatal outcomes during severe malaria in children at the HKM University Teaching Hospital of Cotonou-Benin. Open Journal of Pediatrics. 2017;07(04):245-53. Available from: https://doi.org/ 10.4236/ojped.2017.74028.
Conroy AL, Opoka RO, Bangirana P, Namazzi R, Okullo AE, Georgieff MK, et al. Parenteral artemisinins are associated with reduced mortality and neurologic deficits and improved long-term behavioral outcomes in children with severe malaria. BMC Medicine. 2021;19(1):1-12. Available from: https://doi.org/10.1186/s12916-021-02033-1.
Patel H, Dunican C, Cunnington AJ. Predictors of outcome in childhood Plasmodium falciparum malaria. Virulence [Internet]. 2020;11(1):199–221. Available from: https://doi.org/10.1080/21505594. 2020.1726570.
Njuguna P, Maitland K, Nyaguara A, Mwanga D, Mogeni P, Mturi N, et al. Observational study: 27 years of severe malaria surveillance in Kilifi, Kenya. BMC Medicine. 2019;17(1):1-9. Available from: https://doi.org/10.1186/s12916-019-1359-9.
Saskia TI, Mutiara H. Sistem skoring baru untuk menentukan prognosis malaria berat. Journal Agromedicine Unila. 2017;4(2):361-6.
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