scholarly journals INADEQUACIES IN THE TREATMENT OF IRON DEFICIENCY ANEMIA AMONG CHILDREN REGISTERED IN THE NATIONAL PROGRAM OF IRON SUPPLEMENTATION IN FLORIANOPOLIS, SANTA CATARINA, BRAZIL

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Francieli Cembranel ◽  
Arlete Catarina Tittoni Corso ◽  
David Alejandro González-Chica

ABSTRACT Objective: to identify inadequacies in the treatment of iron deficiency anemia among children enrolled in the National Program of Iron Supplementation (PNSF) and treated at public primary health centers in Florianópolis, Santa Catarina, Brazil. Method: a cross-sectional study was performed using secondary data obtained from the InfoSaúde system. Information was obtained on the ferrous sulfate dose prescribed for treating iron deficiency anemia, as well as demographic and anthropometric data of all children enrolled in the program in 2010. STATA 11.0 software was used in the analysis and p-values ≤ 0.05 were considered significant. Results: sixty-eight (68) of the 834 children enrolled in the program in 2010 were diagnosed as anemic; 58 of whom received an indication to use ferrous sulfate. Conclusion: children under six months of age (65.1%), living in economically deprived areas (66.7%) and with a height/age Z-score ≥ -1.0 (52.1%) were more prone to receive inadequate supplement dosage (<3 mg/kg/day). The results are relevant to educate health professionals about their role in effectively treating iron deficiency anemia.

2008 ◽  
Vol 126 (2) ◽  
pp. 96-101 ◽  
Author(s):  
André Fernando Shibukawa ◽  
Edina Mariko Koga da Silva ◽  
Wilson André Ichiki ◽  
Maria Wany Louzada Strufaldi ◽  
Rosana Fiorini Puccini

CONTEXT AND OBJECTIVE: Iron deficiency anemia is an important public health problem in Brazil. In the municipality of Embu, a population study in 1996 found anemia prevalence of 68.5% among children aged one to two years. From these data, prescription of prophylactic ferrous sulfate was instituted in 1998 for children under two years old followed up within the children's healthcare program. After five years of intervention, the prevalence of anemia and associated factors were investigated among children aged 12 to 18 months to whom guidance for prophylactic ferrous sulfate use had been given. DESIGN AND SETTING: Cross-sectional study covering October 2003 to June 2004 at a primary healthcare unit in Embu. METHODS: A randomized sample of children aged 12 to 18 months to whom guidance for prophylactic ferrous sulfate use had been given was obtained. Hemoglobin was measured in capillary blood, using HemoCue® apparatus. Hemoglobin < 11 g/100 dl was taken to indicate anemia. RESULTS: The sample comprised 118 children and anemia was found in 41.5%. There was no statistically significant association between anemia presence and the variables of sex, birth weight, neonatal intercurrences, chronic diseases, breastfeeding or iron supplementation use. There was a statistically significant association (p = 0.03) between anemia presence and per capita income, such that the higher the income was, the lower the prevalence of anemia was. CONCLUSION: The prophylaxis program against iron deficiency anemia did not achieve the expected results. New strategies must be considered in the light of the magnitude of the problem.


2021 ◽  
Vol 28 (05) ◽  
pp. 691-696
Author(s):  
Maryam Rafiq ◽  
Amna Arooj ◽  
Qurrat-ul-Ain Tahir ◽  
Nudrat Fayyaz ◽  
Afra Samad ◽  
...  

Objectives: To evaluate electrolytes levels in patients suffering from iron deficiency anemia and to compare it with patients without anemia. Study Design: Descriptive Cross Sectional study. Setting: Department of Pathology, Sahiwal Medical College Sahiwal. Period: November, 2019 to May, 2020. Material & Methods: After taking informed consent, five milliliter of blood was drawn from each patient. Blood sample was analyzed for electrolytes, complete blood counts and serum ferritin levels. Results were compared in normal and iron deficiency anemic groups. Results: A total of 287 clinically anemic suspects including 181 (63.0%) female and 106 (37.0%) male with mean age of patients as 36.11±12.23 were included in this study. A total of 205 (71.4%) of the suspects had anemia whereas frequency of anemia remained higher among females (78.5%) as compared to males (59.5%) in this study. On the basis of serum ferritin levels a total of 178 (62.0%) patients had iron deficiency. Mean values of Sodium (130.41±0.59) and Bicarbonate (24.10±0.31) remained low while mean Potassium (4.33±0.07) and Chloride (103.93±0.47) levels of Iron Deficiency Anemia (IDA) group remained high as compared to non-anemic group. Conclusion: Levels of sodium and bicarbonate are found to be on the lower side while potassium and chloride remained on higher side in patients with Iron deficiency Anemia in this study. Thus these findings indicate close monitoring of electrolytes to evade impediments during management of patients.


2013 ◽  
Vol 31 (3) ◽  
pp. 315-323 ◽  
Author(s):  
Francieli Cembranel ◽  
Arlete Catarina T. Corso ◽  
David Alejandro González-Chica

OBJECTIVE To evaluate the National Program of Iron Supplementation (PNSF) coverage, the compliance with the directions for of using of this supplementation and the association with sociodemographic factors in children aged six to 18 months old and registered in 35 public health centers of Florinópolis (Southern Brazil). METHODS Cross-sectional study using secondary data obtained from the health information system of the Health Department of Florianópolis, Santa Catarina, Brazil (Infosaúde). Data on ferrous sulfate supplementation and sociodemographic variables were obtained of all children registered in PNSF in Florianópolis in 2010. STATA 11.0 software was used in the analyses. RESULTS The PNSF covered 6.3% (95%CI 5.9-6.7) of the children; the compliance with the directions regarding age at the onset of supplementation and its frequency was adequate only in 2.4% of the cases (95%CI 1.5-3.7). There was no association with the child's gender, maternal education level and ethnicity or the distance from home to the health center. CONCLUSIONS This study showed low coverage and inadequate compliance with the PNSF directions. Measures to improve this strategy are urgent.


2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Naresh Kumar Seetlani ◽  
Khalid Imran ◽  
Kashif Sadruddin ◽  
Asif Ali ◽  
Pyar Ali ◽  
...  

Objectives: To determine the frequency of dual lesions detected by Upper and lower GI endoscopies in patients with iron deficiency anemia without obvious blood loss. Study Design: Cross sectional study. Place and Duration of Study: Department of Medicine, Civil Hospital Karachi from 1st Feb 2015 to 31st July 2015. Methodology: A total 163 patients with Iron deficiency anemia (IDA) for duration of 6 months were registered. Upper and lower GI endoscopies were done in all patients. Outcome variable were the presence of dual lesion identified by gastroenterologist during Upper and lower GI endoscopies. All the results were catered in the pre-approved performa and findings were evaluated by SPSS 17. Results: The average age of the patients was 40.64±11.17 years. Frequency of dual lesions detected by Upper and lower GI endoscopies in patients with iron deficiency anemia without obvious blood loss was observed in 38.65% (63/163) cases. Conclusion: Upper GI tract lesion like gastritis, duodenitis, gastric ulcer and duodenal ulcer were the most common causes of IDA without obvious blood loss. However, Dual lesions were not uncommon, thus both procedures (upper and lower GI endoscopies) were required in most (particularly elderly) patients. This can help to provide shorter hospital stays, reduced medical costs and faster decision making for patient care.


2018 ◽  
Vol 21 (01) ◽  
pp. 100-105
Author(s):  
Hamzullah Khan ◽  
Khalid Khan ◽  
Fazle Raziq ◽  
Aamir Naseem

Objectives: To determine the importance of the RDW and other red cell indices(MCV, HBG) in the prediction of iron deficiency anemia in third trimester of pregnancy in a tertiarycare hospital of Peshawar. Design: Cross sectional study. Setting: OPD Department ofGynecology and Obstetrics Postgraduate Medical Institute, Lady reading Hospital (PGMI-LRH)st th Peshawar. Period: 1 August 2012- 10 Dec 2012. Material and Methods: A Total of 152 womenattending the centre were included. Necessary information’s were recorded on the questionnaireprepared in accordance with the objectives of the study. Results: A total of 152 women in theirthird trimester presenting to Gynecology and obstetrics department of Lady reading hospitalPeshawar. The age range of the patient was from 20 years to 55 years with mean age of33+3.4years.Out of total 27(18%) were primagravida. Majority of the cases 118(77.6%) werefrom Peshawar, 9% from charsadda, 8% nowshera etc. We also received 2 patients 1.2% fromAfghanistan. Regarding financial status 57 %( 87) females were in upper Class ( i.e. income>20000/month) on recall. Of total 81(53%) of the females were having hemoglobin less than11g/dl and 22% of the women had HCT<32% which as per criteria of the WHO were anemic at thetime of presentation. While 29(19%) patients had low value of MCV (microcytic). Fifty five patients(36.2%) had RDW CV(%) more than 15% which points more towards the microcytic nature ofanemia and more anisocytosis. Conclusions: Fifty five patients (36.2%) had RDW CV(%) morethan 15% which points more towards the microcytic nature of anemia. While 29(19%) patientshad low value of MCV (microcytic). Increased RDW is best indicator for the detection of irondeficiency anemia than MCV. Increased RDW even in the presence of normal MCV can be anearly signal for iron deficiency anemia in pregnacy. Hence RDW is more reliable indicator for irondeficiency especially in pregnancy. Changes in RDW in last trimester is more significant that MCV.


PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0205868 ◽  
Author(s):  
Muhammad Awidi ◽  
Hisham Bawaneh ◽  
Hadil Zureigat ◽  
Muna AlHusban ◽  
Abdalla Awidi

2015 ◽  
Vol 14 (1) ◽  
pp. 25 ◽  
Author(s):  
EmanFawzy Halawa ◽  
SamarMohamed Sabry ◽  
Dalia Ahmed ◽  
MohamedM. E. Al Ghwass

2020 ◽  
Vol 11 (3) ◽  
pp. 157-161
Author(s):  
Cristiana Maximiano ◽  
Mariana Portela ◽  
Juliana Almeida ◽  
Alexandra Estrada ◽  
Henedina Antunes

INTRODUCTION Iron deficiency is the world most prevalent nutritional disorder which is associated with impaired neurocognitive function in infants. The prevalence of iron deficiency anemia (IDA) in Portuguese infants remains unknown. The last study was performed by one of us (HA) in 1994 in a sample of 188 infants revealing a prevalence of IDA of 19%. The main objective of this study is to determine the current prevalence of IDA in a sample of infants nine months of age in Braga, Portugal. METHODS This was a cross-sectional study on a random sample of infants born from September 2016 to February 2017 at Braga Hospital. They were evaluated for anthropometry, socio-economic factors, feeding regime and a blood sample was taken for blood cell counts, serum ferritin and C reactive protein. RESULTS Forty-two infants were included. The prevalence of IDA was 7.1%.  Nine infants were anemic (21%); moderate anemia was observed in 2/9 of infants and mild anemia in 7/9 infants. Of the 3 infants with IDA, 2 had been exclusively breastfed until 6 months. CONCLUSIONS Compared to a study from 1994, there may have been a reduction in the prevalence of IDA in this area in Portugal.


2012 ◽  
Vol 19 (02) ◽  
pp. 155-158
Author(s):  
SAEED SIDDIQUI ◽  
ATIF SITWAT HAYAT ◽  
M. KHALID SIDDIQUI ◽  
Naila Atif ◽  
Hamayun Shah

Objectives: To estimate the frequency of iron deficiency anemia in a sample of population of pregnant women residingpermanently at high altitude of ≥5000 feet in different areas of district Abbottabad. Study Design: Cross sectional Study. Place & duration ofStudy: Northern Institute of Medical Sciences Abbottabad: From 17 August 2009 to 15 June 2010. Subjects and Methods: This study wascarried out on hundred pregnant women residing permanently at an altitude of ≥5000 feet above sea level in district Abbottabad. The agerange was fixed to 15-45 (child bearing age ) years. Suspected study participants having anemia were tested for iron status by serum ferritintest. Pregnant women having both anemia and iron deficiency were labeled as patients of Iron deficiency anemia. Results: The age range was15-41 years with a mean of + / - SD of 28.13 + / - 6.61. All women were of low and middle socioeconomic class with 74 % illiteracy. 60 % of womenhad birth spacing of two or less than two years. 64 % of pregnant women had three children. Anemia was detected in 74 % (X2 =9.42 p > 0.05),iron deficiency in 66 % (X2 = 14.76 p <0.01) and iron deficiency anemia in 60 % (X2 = 13.56 p < 0.01). Conclusions: High altitude residentpregnant women remain at high risk of developing iron deficiency anemia because of illiteracy, poverty and ignorance. With adequate nutritionand health education the problem can be addressed effectively.


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