scholarly journals Screening methods for assessing the nutritional status of young children with intestinal infection

Author(s):  
Yulia V. Erpuleva ◽  
Roman E. Rumiantsev

Assessment of the nutritional status in children with infectious pathology is an important and necessary event in the routine practice of a pediatrician. The article describes the basic principles of assessing the nutritional status of children with intestinal infections. The main laboratory markers are shown, changes in which may indicate the risk of developing nutritional insufficiency and a more severe course of the disease. In the conditions of an infectious hospital, screening methods for assessing the nutritional status can be used. There are different scales and tools for screening, further research is needed to identify the most optimal method.

2013 ◽  
Vol 7 (10) ◽  
pp. 741-747 ◽  
Author(s):  
Javier Gutierrez-Jimenez ◽  
Maria G C Torres-Sanchez ◽  
Leamsi P Fajardo-Martinez ◽  
Maria A Schlie-Guzman ◽  
Lorena M Luna-Cazares ◽  
...  

Background: For many years Chiapas, Mexico's poorest state, has had the highest rate of child mortality due to intestinal infections of unknown etiology in the country. To begin identifying the infectious agents, our work determined the prevalence of intestinal parasites as well as malnutrition in children from Chiapas's three most impoverished municipalities: Pantepec, Chanal, and Larrainzar. Methodology: In this cross-sectional study, conducted between January and November 2009, we assessed the prevalence of intestinal parasites by means of coproparasitological analysis in children <5 years of age (N=250) from three of the marginalized municipalities: Pantepec, Chanal and Larrainzar. The prevalence of malnutrition was then assessed using the Mexican official norm NOM-031-SSA2-1999 and WHO criteria. We evaluated the association between age (breast-fed and pre-school children) with parasites and nutritional status. Results: Our analysis revealed the highest prevalence of intestinal parasites in children from Pantepec (62.8 %), followed by Chanal (47.3 %), and then Larrainzar (11.9 %). The nematode Ascaris lumbricoides was the most prevalent enteroparasite (33.6%). Anthropometric analysis revealed that >40% of children represented varying degrees of malnutrition and a marked constitutional delay in growth. A very high prevalence of stunting was also recorded in children from Chanal and Larrainzar (70% and 55 %, respectively). An association between infection with intestinal parasites and malnutrition was observed in Pantepec. Preschool-age children were more likely to be infected with intestinal parasites. Conclusion: Our results indicate the urgent need for interventions in order to 1) improve the nutritional status of children and 2) reduce infection rates of enteric parasites.


2018 ◽  
Vol 17 (4) ◽  
pp. 62-64
Author(s):  
Z. M. Kuliyeva ◽  
L. I. Rustamova ◽  
S. M. Faradzheva ◽  
M. G. Aliev ◽  
I. B. Israfilbekova ◽  
...  

The purpose of this study was to study the state of the intestinal microflora in young children who received inpatient treatment for acute intestinal infections. A study of the microflora in 183 children aged 0 months. up to 3 years of life. At the same time, 43 (23.5%) children received breast milk, 53 (29.0%) were artificially fed and 87 (47.5%) mixed-fed children. All children were examined by bacteriological method. Conditionally pathogenic flora among hospitalized patients was detected in 114 (62.3%), Candida was mainly detected in 67.5% of cases, in 57 patients (50.0%) in association with other opportunistic microorganisms — Candida + St. aureus — in 32 (28.1%), Candida + P. vulgaris — in 9 (7.9%), Candida + + P. vulgaris + St. aureus — in 12 (10.5%), Candida + St. aureus + Ps. aeroginosa — in 4 (3.5%). As a result of studying the composition of the intestinal microflora in patients hospitalized with intestinal infection, a decrease in the number of E. coli and B. bifidum was found, 43.7% and 63.4%, respectively.


2014 ◽  
Vol 18 (3 (71)) ◽  
Author(s):  
O. V. Prokopiv ◽  
A. I. Mostiuk ◽  
G. N. Karmazina

Clinical efficiency of fine silicon-organic enterosorbent administration in acute intestinal infection of Klebsiellea aetiology in young children and influence of this medication on local immune mechanisms functioning have been studied. It is revealed that the duration of major clinical disease manifestations (microcirculation disturbances, fever, diarrhoea syndrome, dehydration and abnormal changes in defecation) is considerably reduced following complex treatment of acute intestinal klebsiellosis including Sillard administration. It is found that Sillard administration resulted in both positive dynamics of clinical symptoms in acute intestinal klebsiellosis and earlier and stable increase of local immunoglobulins in coprofiltrates.


Author(s):  
Aishani Chowdhury ◽  
Animesh Gupta

Background: Young children living in urban slums are at high risk for acute malnutrition and stunting. Many factors contribute towards it including living conditions, gender, delivery method, or access to nutrition. Malnutrition at a young age can cause morbidity and mortality, and impact further development and educational outcomes of children, and cause lifelong impairment. The aim of this study was to assess the nutritional status of young children in an urban slum in Mumbai and the factors affecting the health of children.Methods: A community based cross sectional study was conducted in the slum community of Dharavi, Mumbai. Data was collected using pre-designed and pre-tested proforma by interview method.Results: The prevalence of wasting (W/H) was found in 48.9% of the population in this study, of which 25.0% had severe acute malnutrition (SAM) and 23.9% had moderate acute malnutrition (MAM). Stunting was found in 39.7% of the population, of which 29.5% were moderately stunted and 10.2% were severely stunted. Wasting was found to be highly correlated with the age of the child and the age of the mother, whereas Stunting was found to be highly correlated with the child, the age of the mother, and complementary feeding.Conclusions: Poor nutritional status of children in the urban slums in Mumbai needs to be addressed by improving education and awareness amid parents and access to Anganwadi, Balwadi, and nutritional supplements. 


Author(s):  
A. A. Kamalova ◽  
R. F. Rahmaeva

It is quite a challenge to evaluate the nutritional status of children with infantile cerebral palsy. The violation of the growth and development of this category of children has a polyfactorial genesis, and the approach to nutritional correction must be comprehensive. Only a complex solution with a verified algorithm for evaluation of the anthropometric indicators, knowledge of the features of physical development, actual nutrition, body composition and laboratory markers in children with cerebral palsy can reflect the real patient’s nutritional status and help to carry out the necessary correction.


2019 ◽  
Vol 10 (2) ◽  
pp. 13-20
Author(s):  
Ol’ga I. Klimova ◽  
Natal’ya V. Gonchar ◽  
Irina V. Razd’yakonova ◽  
Yuriy V. Lobzin

This article presents the results of a study of the nutritional status of children with acute intestinal infections (AII) occurring with hemocolitis syndrome. It was found that the nutritional status reflects the severity of the pathological process, and its dynamics allows to evaluate the effectiveness of therapy. The aim of the work was to study the changes in anthropometric indicators of nutritional status in the treatment of AII with hemocolitis syndrome in children. 50 patients with AII with hemocolitis syndrome aged from 5 months to 8 years were observed in an infectious hospital. Patients were divided by age: group 1 – breast age (n = 10), group 2 – early age (n = 27), group 3 – preschool age (n = 10), group 4 – school age (n = 3). The nutritional status of patients was studied in dynamics on the 1st and 7th day of inpatient treatment according. Analysis of research data was performed using Studentʼs t-test, U-Mann-Whitney test, Kruskal-Wallis criterion. The level and harmony of physical development of children in all groups at the time of admission to the hospital did not differ significantly. In the course of treatment, positive dynamics was noted in group 1 by the values of body mass index (BMI) (p = 0.05), Z-score BMI (p = 0.04), body weight deviation by height (in %) (p = 0.05); in group 2 – by the values of body weight by height (p = 0.05). Positive dynamics of nutrition indicators in group 1 was combined with a high frequency of diagnosis of unspecified forms of AII (60%). The negative dynamics of most indicators was observed in group 3, which was accompanied by a high frequency of diagnosis of refined (bacterial) etiological forms of AII (90%). The obtained data show that the dynamics of nutritional status of patients with AII with hemocolitis syndrome during therapy was more favorable in infants and young children and less favorable in preschool children, depended on the etiology of the disease and reflected its impact on metabolism.


2012 ◽  
Vol 3 (1) ◽  
pp. 279-281
Author(s):  
Dr. Agrawal Nisha ◽  
◽  
Dr. Acharya Shrikala ◽  
Dr. Shinde Ratnendra

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