Standardized Nutrition Care Process in a Pediatric Patient with Typhoid Fever, Dengue Hemorrhagic Fever, Measles with Undernutrition: A case study

Authors

  • Betty Yosephin Simanjuntak Politeknik Kesehatan Kementerian Kesehatan Bengkulu
  • Aswita Amir Departement of Nutrition, Health Polytecnic of Makassar, South Sulawesi, Indonesia
  • Titi Enyliana Nutrition Unit, Harapan dan Do’a Hospital, Bengkulu, Indonesia
  • Rina Hemelda Sari Nutrition Unit, Harapan dan Do’a Hospital, Bengkulu, Indonesia

Keywords:

nutrition care, multiple, infectious diseases, patient

Abstract

In Indonesia, infectious diseases remain one of the leading health problems among children, particularly in developing regions. This study aimed to evaluate the implementation of standardized nutrition care for a pediatric patient with multiple infectious diseases treated at Harapan dan Doa Hospital, Bengkulu, through an observational case study involving a single subject. Nutritional assessment showed that the patient experienced malnutrition with low anthropometric indicators and inadequate dietary intake. During a three-day monitoring period, nutrient intake gradually improved following nutritional intervention: energy intake increased from 47.77% on the first day to 80% on the third day, protein intake from 65.19% to 109.01%, fat intake from 35.53% to 83.08%, and carbohydrate intake from 48.52% to 75.92%. In conclusion, the patient was prescribed a high-calorie, high-protein diet with soft food consistency administered orally. Improvement in dietary intake was observed during the intervention period, indicating that the nutritional therapy helped support recovery and improve the patient’s nutritional status

 

Downloads

Download data is not yet available.

References

Puspitasari M, Herdiani N, Masyarakat JK, et al. Literature Review : Penyakit Infeksi terhadap Status Gizi Balita. J Kesehat. 2021;14(1):18-22.

Ngii Y, Novianti SW, Andiarsa D, et al. Asuhan Keperawatan Anak Dengan Penyakit Infeksi.; 2021.

Rampengan M. Demam Thypoid pada Anak di Ruang Hamka RSU PKU Muhammadiyah Delanggu. J Ilmu Kesehat. 2022;17(1):52-58.

Salam MR, Apriyanti R. Faktor Determinasi Pengetahuan Terhadap Dengue Vaccine : Cross- Sectional Study Pada Orang Tua di Sulawesi Tenggara Determining Factors of Knowledge of Dengue Vaccine : Cross Sectional Study of Parents in Southeast Sulawesi. Heal Inf J Penelit. 2024;16(2):233-243.

Misin A, Antonello RM, Bella S Di, et al. Measles : An Overview of a Re-Emerging Disease in Children and Immunocompromised Patients. Microorganisms. Published online 2020:1-16. doi:doi:10.3390/microorganisms8020276

Rostanty RA, Khairani MD, Junita DE, Pringsewu UA, Kurang G. Hubungan Pola Makan dengan Kejadian Gizi Kurang pada Balita Usia 24-59 Bulan di Desa Sumbersari Kecamatan Sekampung Tahun 2023. J Gizi Aisyah. 2023;6(2).

Rahmah S, Haryana NR, Sandy YD, Firmansyah H. Hubungan Asupan Zat Gizi Makro Dengan Status Gizi Remaja. 2024;5(2):72-79.

Gusmita D, Fatmawati TY, Jeki AG, Indrawati I, Makan P, Putri R. Hubungan Pola makan dengan Kejadian Gizi Kurang pada Remaja Putri di SMPN Kota Jambi. J Ilm Pamenang. 2024;(September):199-205.

Clara M, Ribeiro SA, Sousa LS De, et al. Undernutrition and Intestinal Infections in Children : A Narrative Review. 2025;5.

Alvira M, Muslim ZA, Annabila ZI, Daniyal M, Zara N. Studi Kasus Anak Usia 10 Bulan dengan Gizi Kurang di Desa Kuala Keureuto Barat Puskesmas Tanah Pasir Tahun 2025. J ilmu Kesehat Umum. 2025;3:114-129. doi:https://doi.org/10.61132/vitamin.v3i4.1742

Ijaiya MA, Anjorin S, Uthman OA. Quantifying the increased risk of illness in malnourished children : a global meta ‑ analysis and propensity score matching approach. Glob Heal Res Policy. 2024;0. doi:10.1186/s41256-024-00371-0

Gombart AF, Pierre A, Maggini S. A Review of Micronutrients and the Immune System – Working in Harmony to Reduce the Risk of Infection. Published online 2020.

Neerven RJJ Van. Macronutrients , Micronutrients , and Malnutrition : Effects of Nutrition on Immune Function in Infants and Young Children. Published online 2025.

Ramadhani AF. Analisis Jumlah Trombosit Dan Leukosit Pada Pasien Dengue Hemorrhagic Fever ( DHF ) Di Rumah Sakit Umum Daerah Kabupaten Barru Analysis of Platelet and Leukocyte Counts in Dengue Hemorrhagic Fever ( DHF ) Patients at the Barru District General Hospital WIDARTI Sulawesi Selatan 90222 Email : widwidarti53@gmail.com Abstrak. 2023;05(02):95-103.

Yulianti F, Saraswati KD. Hubungan Jumlah Trombosir dengan IGG IGM Dengue pada Pasien Demam Berdarah Dengue di RSU Aisyiyah Ponorogo. 2024;1(3):221-226.

Malekiantaghi A, Asnaashari K, Mirzaee HS, Vigeh M. Evaluation of the risk of malnutrition in hospitalized children by PYMS , STAMP , and STRONGkids tools and comparison with their anthropometric indices : a cross ‑ sectional study. BMC Nutr. Published online 2022:1-7. doi:10.1186/s40795-022-00525-8

Chen H, Zhang Y, Han H. Modified STRONGkids outperforms PYMS for WHO-defined malnutrition : a screening-to-action pathway for pediatric wards. 2026;(February):1-7. doi:10.3389/fped.2025.1628856

Published

2026-08-02

How to Cite

1.
Simanjuntak BY, Amir A, Enyliana T, Sari RH. Standardized Nutrition Care Process in a Pediatric Patient with Typhoid Fever, Dengue Hemorrhagic Fever, Measles with Undernutrition: A case study. JHCD [Internet]. 2026 Aug. 2 [cited 2026 Aug. 11];1(2):21-8. Available from: https://journalmpci.com/index.php/jhcd/article/view/1365

Issue

Vol. 1 No. 2 (2026)

Section

Articles
Copyright & Licensing

Copyright (c) 2026 Betty Yosephin Simanjuntak, Aswita Amir, Titi Enyliana, Rina Hemelda Sari

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Article Copyright

When an article is published in this journal, the author(s) of the article retain the copyright. Author(s) may republish the article as part of a book or other materials. A copyright statement is displayed on the full-text PDF of each article.

Article License

All published articles are licensed under the  Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Creative Commons License

You are free to:

  • Share — copy and redistribute the material in any medium or format
  • Adapt — remix, transform, and build upon the material
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:

  • You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
  • No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.