Treatment Outcome of Severe Acute Malnutrition in Children at Nutrition Stabalization Centre Multan using Who Guidelines. | [Isra Medical Journal • 2017]

Author(s):

1. Saadia Khan: Children Hospital and Institute of Child Health, Multan, Pakistan

2. Ibad Ali: Department of Preventive Pediatrics, Children Hospital and Institute of Child Health, Multan, Pakistan

3. Imran Iqbal: Children Hospital and Institute of Child Health, Multan, Pakistan

4. Kamran Ishfaq: Bahauddin Zakariya Univesity (BZU), Multan, Pakistan

Abstract:

OBJECTIVES: To determine the outcome of children with severe acute malnutrition treated with WHO recommended guidelines for management of severe acute malnutrition. STUDY DESIGN: Retrospective study. PLACE AND DURATION: At Nutrition Stabilization Centre of The Children's Hospital and the Institute of Child Health Multan from 1st January 2014 to 30th December 2014. METHODOLOGY: Data was collected from outcome register of nutrition stabilization centre. Age, sex, type of malnutrition and outcome of patients were main variables that were determined. Patients with severe acute malnutrition (wt/ht less than -3SD and or bilateral pedal edema) of age 1 month to 60 months were included in this study and given F75-F100 as therapeutic feed as recommended by WHO guideline. RESULTS: Total of 276 patients with severe acute malnutrition were admitted, (44.5%) were less than 6 months while (55.5%) were more than 6 months of age. (56.2%) were males and (43.8%) were females. Of the total respondents, (91.6%) patients were marasmus while (8.4%) were of Khawashikor. About (90%) were discharged from ward and (6%) were expired, rest of (4%) Left against medical advice (LAMA) and discharge on request. Breast feeding was established or re-established in (19%) children less than 6 months during this period, average weight gain using F100 formula was more than 10gm/kg/day. Diarrhea was the most common presentation on admission (40%) followed by pneumonia (30%), Hypoglycemia (10%), UTI (15%), and Otitis Media 5%. CONCLUSIONS: WHO guideline for the management of children with severe acute malnutrition are very useful and helpful in reducing mortality of patients with severe acute malnutrition.

Page(s): 59-61

DOI: DOI not available

Published: Journal: Isra Medical Journal, Volume: 9, Issue: 2, Year: 2017

Keywords:

Keywords are not available for this article.

References:

[1] BhuttaAZ,PMRC , Nutrition,Wing, 2011.,Government of Pakistan 2 15 -24

[2] PelletierDL,FrongilloEA, 2003.Changes in child survival are strongly associated with changes in malnutrition in developing countries,J Nutr 133 107 -109

[3] Government of Pakistan, National Nutritional Survey of Pakistan, 2011, Islamabad.

[4] Management of severe malnutrition: a manual for physicians and other senior health workers, -

[5] BlackRE,CouseusS,JohnsonHL,LawaJE,RudanI,BassaniDG, 2010.Global regional and attritional causes of child mortality in 2008: a systematic analysis,Lancet 375 1969 -87

[6] KhadduriR,MarshDR,RasmussenB,BariA,NazirR,DarmstadtGL, 2008.Household knowledge and practices of newborn and maternal health in Haripur district,Pak J Perinatol 28 182 -87

[7] TeferiE,LeraM,SitaS,BogaleZ,DatikoDG,YassinMA, 2010.Treatment outcome of children with severe acute malnutrition admitted to therapeutic feeding centers in Southern Region of Ethiopia,Ethiopian J. Health Dev 24 234 -38

[8] AshworthA, 2001.Treatment of severe malnutrition,J Pediatr Gastroenterol Nutr 32 516 -18

[9] EnglePL,FernaldLC,AldermanH,BehrmanJ,O'GaraC,YousafzaiA, 2011.Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries,The Lancet 1 1339 -53

[10] ArbabAJ,BahawaluddinJ,GhulamRB,AbdulHS,KhurshidAA, 2014.Treatment Outcome of Severe Acute Malnutrition in Children at Nutrition Stablization Center Sukkur,Pak. Pediatr J 38 14 -18

[11] SameenI,MooraniKN, 2014.Morbidity pattern of severe malnourished children at tertiary care Hospital,Pall pediatr J 20 3 -8

[12] 2013.Guideline: updates on the management of severe acute malnutrition in infants and children, -

[13] PanezaiA,RafeeqM,BajwaMA, 2011.Infections of children associated with malnutrition in Quetta,PJMHS 5 460 -66

[14] LazzeriniM,RubertL,PaniP, 2013.Specially formulated foods for treating children with moderate acute malnutrition in lowand middle-income countries,Cochrane Database Syst Rev 1 148 -52

[15] EjazMS,LatifN., 2010.Stunting and micronutrient deficiencies in malnourished children,J Pak Med 60 543 -47

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