Standardized NCP in Pediatric Patients UTI by Pseudomonas and Marasmus
Inggris
Keywords:
malnutrition, nutrition care process, urinary tract infectionAbstract
Background: Urinary Tract Infection (UTI) is among the most common infectious diseases in children, alongside acute respiratory and gastrointestinal infections. UTI may cause decreased kidney function, acute kidney injury (AKI), and urosepsis, and may lead to renal scarring, hypertension, and end-stage chronic kidney disease.
Objective: To implement a standardized nutrition care process to support clinical stability, meet increased energy requirements during the catabolic state, and prevent deterioration of nutritional status.
Methods: This case study involved Master KNAP, an 8-year-and-4-month-old male pediatric patient diagnosed with UTI, acute kidney injury (failure stage), and severe protein-energy malnutrition (PEM) of the marasmic type. The patient was hospitalized in the Gardenia Pediatric Ward at Prof. Dr. I.G.N.G. Ngoerah General Hospital. Nutrition care was provided using the five steps of the Standardized Nutrition Care Process (NCP).
Results: Anthropometric assessment indicated severe malnutrition (BMI-for-age z-score: -3.02 SD), while biochemical assessment showed severe anemia. Oral nutritional intervention was introduced gradually, beginning at 50% of estimated nutritional requirements. Three days of monitoring demonstrated improvements in energy and protein intake, accompanied by favorable changes in nutrition-related clinical conditions.
Conclusions : Gradual nutrition therapy for pediatric UTI complicated by AKI and PEM supported clinical stabilization and contributed to the patient’s recovery process.
Keyword : urinary tract infection, malnutrition, nutrition care process
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