Pneumonia Clinical Features in Under-Five Children Treated in Atma Jaya Hospital in 2017-2020

Rachel Roselany, Edward Surjono


Pneumonia is the leading cause of infection-related death among children and still remains a global health problem, especially for children under five. This study aimed to identify the clinical features of pneumonia in under-five chilren treated at Atma Jaya Hospital during the period of 2017-2020. This was a cross-sectional retrospective descriptive study on all under-five patients diagnosed with pneumonia treated in Atma Jaya Hospital. Data were collected from November 2021-January 2022 from the medical records of these children (n=148) and analyzed using the univariate analysis.  Results showed that most subjects of this study were boys (60.8%), in the age group of 1-4 years old (62.2%), with fever as the most common pnemonia clinical symptom (93.9%). Physical examinations revealed that the average pulse of the subjects were 131.2 beats/minute and the average temperature was 37.1°C. Other signs and symptoms identified during physical examinations were tachypnea (20,3%), retractions (56.1%), crackles (82.4%), and wheezing (22,3%). The laboratory findings presented a mean hemoglobin of 11.0 g/dL, a mean hematocrit of 32.5%, and a mean CRP of 13.2 mg/dL, while most subjects had normal leukocyte (58.1%) and platelet counts (52.0%). The most common chest X-ray finding of pneumonia in these children was infiltrate (92.6%) and the average length of stay was 4 days. Most under-five children experiencing pneumonia recovered after treatment (97.3%).


Clinical features, pneumonia, under five

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  1. Pneumonia [Internet]. WHO. 2019 [cited 9 March 2020]. Available from:
  2. Pneumonia in children statistics [Internet]. UNICEF DATA. 2019 [cited 9 March 2020]. Available from:
  3. Kemenkes RI. Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.
  4. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2019. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.
  5. Banstola A, Banstola A. The epidemiology of hospitalization for pneumonia in children under five in the rural Western Region of Nepal: a descriptive study. PLoS ONE. 2013;8(8):e71311.
  6. Orimadegun AE, Adepoju AA, Myer L. A systematic review and meta-analysis of sex differences in morbidity and mortality of acute lower respiratory tract infections among African Children. J Pediatr Rev. 2020;8(2):65–78.
  7. Kasundriya SK, Dhaneria M, Mathur A, Pathak A. Incidence and risk factors for severe pneumonia in children hospitalized with pneumonia in Ujjain, India. Int J Environ Res Public Health. 2020;17(13):4637.
  8. Monita O, Yani FF, Lestari Y. Profil pasien pneumonia komunitas di Bagian Anak RSUP DR. M. Djamil Padang Sumatera Barat. Jurnal Kesehatan Andalas. 2015;4(1):218–26.
  9. Kaunang CT, Runtunuwu AL, Wahani AM. Gambaran karakteristik pneumonia pada anak yang dirawat di ruang perawatan intensif anak RSUP Prof. Dr. R. D. Kandou Manado periode 2013–2015. Jurnal e-Clinic (eCl). 2016;4(2):1–9.
  10. Nurjannah, Sovira N, Anwar S. Profil pneumonia pada anak di RSUD Dr. Zainoel Abidin, Studi Retrospektif. Sari Pediatri. 2012;13(5):325–8.
  11. Wingerter SL, Bachur RG, Monuteaux MC, Neuman MI. Application of the world health organization criteria to predict radiographic pneumonia in a US-based Pediatric Emergency Department. Pediatr Infect Dis J. 2012;31(6):561–4.
  12. McCollum ED, Ginsburg AS. Outpatient management of children with World Health Organization chest indrawing pneumonia: implementation risks and proposed solutions. Clin Infect Dis. 2017;65(9):1560–4.
  13. Aviles-Solis JC, Jácome C, Davidsen A, Einarsen R, Vanbelle S, Pasterkamp H et al. Prevalence and clinical associations of wheezes and crackles in the general population: the Tromsø study. BMC Pulm Med. 2019;19(1):173.
  14. Silva GM, Fonseca HI, Souza PA, Oliveira AC, Nobrega LL. Not every wheeze is asthmatic: an aspiration pneumonia case report. Arch Clin Med Case Reports. 2021;5(3):368–72.
  15. Leung AKC, Wong AHC, Hon KL. Community-acquired pneumonia in children. Recent Pat Inflamm Allergy Drug Discov. 2018;12(2):136–44.
  16. Chisti MJ, Kawser CA, Rahman AS, Shahid AS, Afroze F, Shahunja KM, et al. Prevalence and outcome of anemia among children hospitalized for pneumonia and their risk of mortality in a developing country. Sci Rep. 2022;12(1):10741.
  17. Hematocrit. Nursing Critical Care. 2020;15(2):38.
  18. Tarhani F, Nezami A, Heidari G. Evaluating the usefulness of lab-based test for the diagnosis of pneumonia in children. Int J General Med. 2020;13:243–7.
  19. Kiyawat P, Panchonia A, Meshram S, Thakur SS. Thrombocytosis associated with lower respiratory tract infection in pediatric population-two year study. Int J Health Clin Res. 2021;4(4):275–7.
  20. P. C, Patil V, N. K. Thrombocytosis: a predictor of severity in children with lower respiratory tract infection. Int J Contemporary Pediatr. 2021;8(10):1658–61.
  21. Neuman MI, Lee EY, Bixby S, Diperna S, Hellinger J, Markowitz R, et al. Variability in the interpretation of chest radiographs for the diagnosis of pneumonia in children. Journal of Hospital Medicine. 2012;7(4):294–8.
  22. Tirore LL, Abame DE, Sedoro T, Ermias D, Arega A, Tadesse T, et al. Time to recovery from severe pneumonia and its predictors among children 2–59 months of age admitted to pediatric ward of Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hossana, Ethiopia: retrospective cohort study. Pediatr Health Med Therapeutics. 2021;12:347–57.
  23. Le Roux DL, Nicol MP, Vanker A, Nduru PM, Zar HJ. Factors associated with serious outcomes of pneumonia among children in a birth cohort in South Africa. PLOS ONE. 2021;16(8):e0255790.


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