scholarly journals Demographic and clinical profile of children with severe acute malnutrition admitted in a tertiary care hospital in Mahbubnagar, India

2020 ◽  
Vol 7 (2) ◽  
pp. 300
Author(s):  
Archana Reddy D. ◽  
Lakshmi Aparnadevi V. V.
Keyword(s):  
Risk Factors ◽  
Tertiary Care Hospital ◽  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Acute Malnutrition ◽  
Care Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Under Five ◽  
Under Five Children

Background: All possible efforts are being made by the governments, and other agencies to reduce the burden of these problems of malnutrition and deaths associated with it but still it remains a challenge. Severe acute malnutrition continues to constitute an important risk for mortality and morbidity among the under five children. Objective of the study was to study the profile and risk factors of severe acute malnutrition of the under five children in a tertiary care hospital setting.Methods: Hospital based cross sectional study was carried out among 60 under five children with severe acute malnutrition who were admitted for difference causes in the Pediatric wards of SVS Medical College and Hospital, Mahabubnagar. A detailed history and physical examination were done. Anthropometric indices like weight, length/height, MUAC and weight for height were recorded and analysed using WHO growth charts.Results: Majority of the children with severe acute malnutrition were found in the age group of 1-2 years i.e. 48.3%. Males were more (69%) compared to females (31%) and this can be attributed to the hospital based cross sectional nature of the present study. Only 21.6% of the children were completely immunized for age. Majority of the children were found to have grade IV type of malnutrition i.e. 38.3%. Majority of the children presented with fever in 71.6% of the cases. Majority of the children had gastrointestinal related comorbidity in 54.6% of the cases.Conclusions: Incomplete immunization, low social class, inappropriate feeding practices in young age of <1 year are important risk factors of severe acute malnutrition.

scholarly journals Clinical spectrum of severe acute malnutrition among children admitted to nutritional rehabilitation centre of a tertiary care hospital with special reference to incidence of bilateral pitting pedal oedema in children with severe acute malnutrition

2018 ◽  
Vol 5 (5) ◽  
pp. 1928
Author(s):  
M. R. Prashanth ◽  
M. R. Savitha ◽  
H. N. Yashwanth Raju ◽  
M. Shanthi
Keyword(s):  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Clinical Spectrum ◽  
Acute Malnutrition ◽  
Care Hospital ◽  
Nutritional Rehabilitation ◽  
Rehabilitation Centre ◽  
Under Five ◽  
Under Five Children ◽  
Pedal Oedema

Background: Malnutrition is a major cause of morbidity and mortality in under five children globally, according to global nutrition report 2016, forty five percent of deaths in under five children are linked to malnutrition. The objective of this study was to study the clinical spectrum in children with Severe Acute Malnutrition (SAM) admitted to nutritional rehabilitation center of a tertiary care hospital.Methods: Children between the age group of 6 months to 5 years admitted in the nutritional rehabilitation centre during the period of 1 year (from April 2016 to March 2017) meeting our inclusion criteria were included in the study. We retrospectively reviewed the medical records of these children. Clinical spectrum of SAM was compared with comparison group.Results: A total of 100 cases were included in the study. Ninety five percent of children met the criteria of weight for height less than 3SD, 45% of children met the criteria of Mid Upper arm Circumference (MUAC) less than 11.5 cms and 5% of children met the criteria of bilateral pitting pedal oedema. Mean age of presentation of children in the present study was 15.8 months among which 45% were males and 55% were females. Major symptoms of the study group were fever, cough, hurried breathing, loss of appetite and loose stools with 79%, 45%, 27%, 26% and 23% as respective frequencies. Pneumonia (43%) was the major comorbidity among children admitted with severe acute malnutrition. Diarrhoea (21%), meningitis (8%), urinary tract infection (6%) were the other co-morbidities present in the study group.Conclusions: Pneumonia and diarrhoea are the major co-morbidities present in children with SAM. Majority of children fulfil the criteria of weight for height ≤3SD for diagnosis of SAM. There is a low incidence of oedematous malnutrition in the present study.

scholarly journals Knowledge and practices of mothers of under-five children regarding Zinc supplementation in childhood diarrhea

2021 ◽  
Vol 11 (2) ◽  
pp. 301-304
Author(s):  
Meenal Kulkarni ◽  
Vedant Nayse ◽  
Jaydeep Nayse
Keyword(s):  
Analytical Study ◽  
Zinc Supplementation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Childhood Diarrhea ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Socio Demographic Factors

Diarrhoea continues to plaque the developing worldresulting in morbidity of 1.7 billionand mortality of 5.25 lakhsin under- five childrenIn India diarrhea is 3 most common cause of death among under-five children with morbidity of 11.6 million and mortality of 1300 deaths and thus causing 8% of deaths per yearZinc has a major role in prevention of diarrhea. To assess the knowledge and practices of mothers of under-five children regarding zinc supplementation for prevention of childhood diarrhea, to find out the reasons for not supplementing Zinc during diarrhoeal episodes, to find out association between socio-demographic factors and awareness of zinc supplementation. : Hospital based cross sectional analytical study was conducted among 200 mothers of underfive children in outpatient department of Paediatrics of a tertiary care hospital. The data was entered in predesigned semistructured questionnaire. Data was analysed by EPI INFO 7 software. Only 18(9%) mothers were aware about use of Zn supplementation to the under-five children in childhood diarrhoea. Only 10 mothers administered zinc supplementation in childhood diarrhea. Unawareness regarding Zn supplement was common reason mentioned for not giving Zn supplementation. Association was found between religion, type of family and awareness of Zn supplementation. There is a need to increase awareness of mothers regarding zinc supplementation by conducting health education sessions.

scholarly journals Impact of Socioeconomic Inequalities on Child Malnutrition

2020 ◽  
pp. 114-119
Author(s):  
Zamir Ahmed Qambrani ◽  
Asif Nadeem Jamali ◽  
Habibullah Siyal ◽  
Sarah Azhar ◽  
Hafiz Syed Imran-ul Haque ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Tertiary Care Hospital ◽  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Acute Malnutrition ◽  
Severe Malnutrition ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Chi Square Analysis

Socioeconomic status and the education of mother plays important role in providing better health care and nutrition to children. To the best of our knowledge the major population of Pakistan belongs to middle class and identification of malnutrition in our setups may help the policy makers to develop certain parameters to provide better nutrition to children under 5 years of age. The aims of current study were to analyze the prevalence of malnutrition and their association with different socioeconomic status in tertiary care hospital of Hyderabad. Study Design: Cross sectional. Place and Duration of Study: Study was performed at nutritional stabilization center of pediatric department of tertiary care hospital Hyderabad during the month of July 2019 to January 2020. Methodology: Preformed proforma was designed to record the data of participants. Hospital protocols using WHO guidelines (17) i.e. 10 steps for in-patient care of severe malnutrition were started & followed with feeding F-75 & F-100. Data was analyzed on SPSS-20. Results: The minimum age recorded was 8 months and maximum was found to be 45 months (3 years 9 months). 72% were females and 70% of participants had Weight to height ratio below normal. Prevalence of severe acute malnutrition was found to be 35.2%. After admission and management protocols 91.6% were recovered however, mortality was observed in 8.9% participants. Chi square analysis of all socioeconomic groups showed highly significant results with severe acute malnutrition (p-value= 0.001). Conclusion: Current study concluded a high prevalence of SAM in Pakistani population that is about 35.2%, out of which majority was from lower socioeconomic class.

scholarly journals Prevalence of underweight and its risk factors among under-five children in a tertiary care hospital of Chitradurga

2021 ◽  
Vol 2 (2) ◽  
pp. 34-37
Author(s):  
A M Amrutha ◽  
◽  
Vijayalaxmi Mangasuli ◽  
Sherin Joseph Xavier ◽  
M R Nagendra Gowda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Under Five ◽  
Under Five Children

scholarly journals MORTALITY PATTERN OF UNDER-FIVE CHILDREN – A HOSPITAL-BASED CROSS-SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL OF INDIA

2017 ◽  
Vol 10 (9) ◽  
pp. 82
Author(s):  
Rachita Sarangi ◽  
Lipilekha Pattnaik ◽  
Saroj Kumar Satpathy ◽  
Mahesh Chandra Sahu
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Central Nervous System Infection ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Tract Infections

  Objective: Under-five mortality is a major public health challenge particularly in developing countries like India. The study was undertaken a hospital-based cross-sectional study to see the pattern of childhood mortality in a tertiary care hospital of Eastern India.Methods: This study was a hospital-based cross-sectional study on under-five children, carried out in the Department of Pediatrics in a tertiary care hospital from January 2013 to December 2014. All the children admitted to the inpatient Department of Pediatrics from 1 month to 5 years were included in the study group and those who died were further explored.Results: Maximum number of death occurred due to central nervous system infection (25.5%) followed by acute respiratory tract infections (19.5%) and complicated malaria (17.2%). Death occurred due to measles and its complication was 1.1% during the study. The percentage of death was higher among rural children (65.2%), children belonged to joint families (63.3%), backward classes (82.8%), low education, and the 1st order birth (49.1%).Conclusion: Specific efforts to combat under-five mortality are needed. In order of priority, the promotion of female education, gender equity, family planning, and addressing the vast socioeconomic differentials in Odisha is important steps to improving under-five survival.

scholarly journals Morbidity patterns and outcome in children with severe acute malnutrition at a Tertiary Care Hospital.

2020 ◽  
Vol 27 (09) ◽  
pp. 1799-1803
Author(s):  
Waqas Ali ◽  
Asif Ali Khuhro ◽  
Sanam Bano Rajper ◽  
Fazal Ur Rehman
Keyword(s):  
Tertiary Care Hospital ◽  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
Acute Malnutrition ◽  
Care Hospital ◽  
Laboratory Findings ◽  
Cross Sectional ◽  
Study Setting

Objectives: We planned this study to find out morbidity patterns as well as outcome of admitted children aged less than 5 years of age with severe acute malnutrition (SAM). Study Design: Cross Sectional study. Setting: Department of Pediatrics Medicine, Ghurki Trust Teaching Hospital, Lahore. Period: From 1st January 2018 to 30th June 2018. Material & Methods: A total of 80 children aged 1 to 59 months, of both genders, having SAM were considered. Physical examination, detailed clinical as well as laboratory findings related to nutritional status and comorbidities were noted. Outcome in terms of recovery/discharge, left against medical advice (LAMA) or death during the stay was noted in all the children. Results: Out of a total of 80 children, 20 (25.0%) were aged 1 to 6 months, 39 (48.8%) from 7 to 24 months and 21 (26.2%) from 25 to 59 months. Most of the patients, 39 (48.8%) were from 7 to 24 months of age, 62 (77.5%) were admitted through emergency, 52 (65.0%) had WHZ score-4SD and 27 (33.8%) using bottle feeding. Severe wasting without having edema was reported in 67 (83.8%) children. Diarrhea was the commonest comorbidity, found in 43 (53.8%) children, followed by sepsis 17 (21.3%) and pneumonia 15 (18.8%). There were 69 (86.3%) children noted having anemia. Hyponatremia was the commonest metabolic abnormality seen in 40 (25.0%) children. In terms of outcome, 71 (88.7%) children recovered well and got discharged while mortality was reported in 5 (6.3%) children. Conclusion: Diarrhea along with sepsis and pneumonia along with metabolic abnormalities were found to be more prevalent amongst children having SAM. Early identification of anemia as well as infections in children with SAM can contribute to better outcome.

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