Co-morbidities and micronutrient deficiencies in children with severe acute malnutrition

Kumar Saurabh; Shilpi Ranjan; J P Narayan

doi:10.18203/2349-3291.ijcp20172113

Authors

Kumar Saurabh Department Pediatrics, Government Medical College, Bettiah, Bihar, India
Shilpi Ranjan Department of Community Medicine, Government Medical College, Bettiah, Bihar, India
J P Narayan Department Pediatrics, Government Medical College, Bettiah, Bihar, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20172113

Keywords:

Co-morbidities, Diarrhoea, Micronutrient

Abstract

Background: To study the co-morbidities and nutritional deficiencies in hospitalized children of severe acute malnutrition (SAM).

Methods: One year retrospective chart review of 150 cases of SAM was done in Paediatric unit of a medical college of northern India.

Results: The mean age of study group was 17.3 months (6 months to 60 months’ age group). Diarrhoea (34.7%) and respiratory tract infection (31.33%) were the most common co-morbid conditions associated with this study. Tuberculosis was seen in 20% of cases whereas Measles was associated in 6.7% cases. Anaemia and Vitamin A deficiencies were common micronutrient deficiencies. A very high prevalence of intestinal helminthic infestation was present in this study. Ascaris lumbricoides being the most common parasite involved. Polyparasitism was present in 20% of cases.

Conclusions: Early identification and management of co-morbidities can improve overall outcome and survival.

Metrics

Metrics Loading ...

References

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.

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.

World Health Organization. Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers, World Health Organization, Geneva, Switzerland; 1998.

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.

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;7:1.

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.

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.

Bhaskaram P. Measles and malnutrition. Indian J Med Res. 1995;102:195-99.

Ejaz MS, Latif N. Stunting and micronutrient deficiencies in malnourished children. J Pak Med Assoc. 2010;60:543-7.

Tsuyuoka R, Bailey JW, Nery Guimaraes AM, Gurgel RQ, Cuevas LE. Anaemia and intestinal parasitic infections in primary school students in Aracaju. 1999;15:413-21.

Quihui CL, Valelica ME, Crompton DWT, Phillips S, Hagen P, Diaz-C SP, et al. Prevalence and intensity of intestinal parasitic infestation in relation to nutritional status in Mexican school children. Trans R Soc Trop Med Hyg. 2004;98:653-9.

Li XX, Zhou XN. Co-infection of tuberculosis and parasitic diseases in humans: a systemic review. Parasit Vectors. 2013;22:6-79.