Title: Children with Severe Acute Malnutrition, Outcome and its Complications in Children admitted at tertiary level Centre (MTC) –A Prospective Study
Authors: Dr Dinesh Kumar Meena, Dr Dipendra Sharma, Dr Naresh Kumar Meena, Dr Ankur Jain
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.69
Abstract
The present study was conducted in malnutrition treatment centre (MTC) at the department of paediatrics, Govt. Medical College, Kota for a period of one year from November 2012 to October 2013. A total of 54 (27 Male and 27 Female) patients were admitted during the study period, of which 57.41 % had loss of appetite, and 50% had anaemia, 46.30% had diarrhea, 35.19% had vomiting, 31.48% had acute respiratory tract infection, 12.96% had vitamin A deficiency, 11.11% had hypoglycaemia, Tuberculosis was diagnosed in 7.41% of cases. Odema were present in 7.41% cases, Malaria and Measles were diagnosed in 3.7% each, and dysentery was seen in 1.85 % cases. Timely identification and treatment of various co-morbidities is likely to break under-nutrition- disease cycle, and to decrease mortality and improve outcome.
Key words: Co-morbidities, Diarrhea, Hospitalisation, India, Management, Severe acute malnutrition.
References
1. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet .2008;371:243–60.
2. Heikens GT. How can we improve the care of severely malnourished children in Africa? PLoS Med. 2007;4: e45.
3. Heikens GT, Bunn J, Amadi B, Manary M, Chhagan M, Berkley JA, et al. Case management of HIV-infected severely malnourished children: challenges in the area of highest prevalence. Lancet. 2008;371:1305-7.
4. World Health Organization. Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers, World Health Organization, Geneva, Switzerland, 1998.
5. Bachou H, Tylleskär T, Deogratias H, Mulindwa K, Tumwine JK. Bacteraemia among severely malnourished children infected and uninfected with the Human immunodeficiency virus-1 in Kampala, Uganda. BMC Infect Dis. 2006;6:160.
6. De Onis M, Monteiro C, Akré J, Clugston G. The worldwide magnitude of protein-energy malnutrition: An overview from the WHO global database on child growth. Bull World Health Organ. 1993;71:703–12
7. Bernal C, Velásquez C, Alcaraz G, Botero J. Treatment of severe malnutrition in children: Experience in implementing the world health organization guidelines in turbo, Colombia. J Pediatr Gastroenterol Nutr. 2008;46:322–8.
8. KUMAR, et al. CO-MORBIDITIES IN SEVERELY MALNOURISHED CHILDREN INDIAN PEDIATRICS 5 AUGUST 5, 2013 [E-PUB AHEAD OF PRINTS]
9. Talbert A, Thuo N, Karisa J, Chesaro C, Ohuma E, Ignas J, et al. Diarrhoea complicating severe acute malnutrition in Kenyan children: A prospective descriptive study of risk factors and outcome. PLoS ONE. 2012; 7: p1.
10. Irena AH, Mwambazi M, Mulenga V. Diarrhea is a major killer of children with severe acute malnutrition admitted to inpatient set-up in Lusaka, Zambia. Nutrition J. 2011;10:110.
11. Berkowitz FE. Infections in children with severe protein-energy malnutrition. Pediatr Infect Dis J. 1992;11:750-9.
12. Sunguya BF, Koola JI, Atkinson S. Infections associated with severe malnutrition among hospitalised children in East Africa. Tanzania Health Research Bulletin. 2006;8: 189-92.
13. Bhaskaram P. Measles and malnutrition. Indian J Med Res. 1995;102:195-99.
14. Olaf Müller, Michael Krawinkel. Malnutrition and health in developing countries CMAJ. 2005;173:279-86.
15. Ejaz MS, Latif N. Stunting and micronutrient deficiencies in malnourished children. J Pak Med Assoc. 2010;60:543-7.
16. Chainani N, Sharma P, Meena N, Sharma U. Pattern of vitamin deficiencies among the malnourished preschool children in ICDS blocks of Jaipur city. Indian J Matern Child Health. 1994;5:109-11.