scholarly journals Feeding practices among the infants presenting with acute diarrhea

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Rashid Mahmood ◽  
Asim Khurshid ◽  
Syed Mohammad Javed Iqbal ◽  
Malik Muhammad Nazir Khan
Keyword(s):  
Acute Diarrhea ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
Watery Diarrhea ◽  
Feeding Patterns ◽  
Cross Sectional ◽  
Medical College ◽  
Acute Watery Diarrhea ◽  
Insufficient Milk

Introduction: To study various feeding practices in children who present with acute watery diarrhea. The objective of the study was not only to study the feeding patterns but also draw an association between different feeding patterns and acute diarrheal episodes. Setting: Outdoor and indoor unit of Department of Paediatrics Jinnah Hospital affiliated with Allama Iqbal Medical College Lahore. Subject: Two hundred and fifty patients with acute watery diarrhea of less then 14 days between the ages of 1 month to 1 year were included in the study. Methods: It was a case control cross sectional study. The data related to 250 patients was collected. The required information was obtained from mother/ attendant of the infant in the questionnaire. All the questionnaire were filled by the doctors. Results: The majority of the infants with acute diarrhea were between 4 months to 1 year 195 (78%). Forty two (17%) were exclusively breastfed while 78 (31 %) exclusively bottle-fed. Fifty five (22%) had both breast feeding as well as bottle feeding. A large number of mothers 112 (44.8%) gave the reason of insufficient milk for the baby. Conclusion: Majority of the infants with acute diarrhea episodes were between 8 and 12 months when either breast milk is being replaced by bottle milk or improper weaning practices are being used. A large number of infants with acute diarrhea were either mixed fed or bottle fed. Because of increased mixed and bottle feeding there is high incidence of diarrhea in our community.

scholarly journals 1491. Active Norovirus Surveillance in Children Under 5 Years with Diarrhea after Rotavirus Vaccine Introduction in Argentina (2017–2019)

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S543-S543
Author(s):  
Angela Gentile ◽  
Juan Stupka ◽  
Juan I Degiuseppe ◽  
María del Valle Juárez ◽  
Maria Florencia Lucion ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Watery Diarrhea ◽  
Rotavirus Vaccine ◽  
Cross Sectional ◽  
Vaccine Introduction ◽  
Rotavirus Vaccination ◽  
Children Under 5

Abstract Background Acute diarrhea is one of the leading causes of infant morbidity and mortality. Argentina introduced massive rotavirus vaccination in 2015. In several countries, this introduction has changed the distribution of enteropathogens. The decrease in the prevalence of rotavirus has been described at the expense of an increase in Norovirus (NoV) activity worldwide. The aim of this study was to analyze the role of NoV in acute diarrhea cases in outpatient children under 5 years of age and their epidemiological profile. Methods A prospective and cross-sectional study in <5 years outpatients attended for acute diarrhea in Children’s Hospital “Dr. Ricardo Gutiérrez” in Buenos Aires, Argentina, between July 2017 and March 2019 was conducted. Active epidemiological surveillance was performed with a specific case reporting form. Stool samples were tested for NoV (RT-qPCR). Clinical and epidemiological data were recorded. Results A total of 252 patients were enrolled and 235 stools samples were tested. Median of age was 22.3 months (IQR: 11–30), 58.7% were male. The most frequent symptoms were fever and vomiting in 63.1% and 53%, respectively; 52% had watery diarrhea, 45.2% had moderate diarrhea according to Vesikari Scale, 95.6% were normohydrated and 22% had a household member with diarrhea. There were no immunocompromised children. A 72% had received rotavirus vaccine, 86% of them with full scheme. From samples tested, 27% (n = 63) were NoV positive. NoV was found throughout the year and the frequency of detection was higher in January and June (summer and winter in Argentina). Regarding genetic diversity the most frequent genogroup was GII (65%; 41/63) and genotype GII.P16-GII.4 Sydney (48%; 20/41). Bacterial co-infection was observed in 35%. Compared with negative cases, NoV were younger (18 vs. 20 months; P < 0.001) and were associated with higher prevalence of rotavirus vaccination (88% vs. 66%; P = 0.001). No statistically difference was found regarding to gender, clinical outcome and severity. Conclusion NoV was detected at high frequency (27%) in children presenting moderate acute diarrhea, mainly in those who received rotavirus vaccine. Regarding sporadic acute diarrhea cases in children, it is important to consider NoV as a frequent etiological agent. Disclosures All authors: No reported disclosures.

scholarly journals A study of breast feeding practices among mothers of infants in an urban slum, South Indian city, Nellore

2018 ◽  
Vol 5 (2) ◽  
pp. 320
Author(s):  
E. Kishore ◽  
Syam Sundar Junapudi
Keyword(s):  
Breast Feeding ◽  
Feeding Practices ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Common Source ◽  
Community Based ◽  
Cross Sectional ◽  
Medical College ◽  
South Indian ◽  
Indian City

Background: The benefits of breastfeeding are well established and for the most part it is rather beneficial for children to drink their mother's milk One of the most commonly cited benefits of breastfeeding is that it helps connect mothers and their children; the baby feels its mother's body warmth and heartbeat (reminiscent of the womb it has left) and can become familiar with its mother's smell. Studies have shown that babies who are breastfed are more likely to reach adulthood. Breast milk is the ideal food for the infant under any circumstance. Objective of present study was to assess the breast feeding and infant feeding practices among mothers of infants aged 0- 12 months.Methods: A Community based cross-sectional study among mothers of infants aged 0-12 months at field practice area of Narayana Medical College, Nellore. This Study was undertaken during March to May 2016. A sample size of 112 respondents were included in this study.Results: 112 mothers of infants aged 0-12 months were included in this study. The source of knowledge regarding breast feeding among these mothers was health personnel 60 (53.57%), Family members was the second most common source 35 (31.25%) fallowed by others 17 (15.18%).Conclusions: Family support and mother’s literacy play important role in promoting breast feeding among mothers. Health education given to mothers helps them to establish breast feeding and take care of their infants. 

Clinical profile of children (0-5 years) with rota virus diarrhea

2017 ◽  
Vol 4 (3) ◽  
pp. 947 ◽  
Author(s):  
Shrish Bhatnagar ◽  
Geetika Srivastva
Keyword(s):  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Watery Diarrhea ◽  
Severe Malnutrition ◽  
Severe Dehydration ◽  
Rota Virus ◽  
Cross Sectional ◽  
Acute Watery Diarrhea ◽  
Unvaccinated Child ◽  
Rotavirus Diarrhea

Background: Rotavirus is a common cause of acute watery diarrhea in under 5 years’ children and it may cause severely dehydrating disease in an unvaccinated child. Methods: A Cross sectional study including children aged 0-5 years presenting with complaints of acute watery diarrhea with or without fever at Department of Paediatrics, Eras Lucknow Medical College and Hospital, Lucknow (Uttar Pradesh).Results: Among 399 patients of acute diarrhea, 385 were discharged and 14 took leave against medical advice. No mortality was reported in this study. Out of 399 patients enrolled 161 (40.4%) were rota virus positive on ELISA assay with mean age 18.65 months. (p=0.028). Rotavirus positivity rate was higher among those having decreased urine (p <0.001), severe dehydration (p <0.001), those with mix/formula feed (89.3%) as compared to those having exclusive breastfeeding (33.3%) in <6 month infants (p <0.001), Only 17.5% of the patients had rotavirus immunization however, the positivity rate among those with rotavirus immunization was only slightly lower (40.0%) as compared to those having incomplete rotavirus immunization (40.4%) (p=0.947). Dehydration rate was significantly higher among cases with incomplete immunization (p <0.001).Conclusions: Severe malnutrition, mix/formula feed and improper hygiene makes the children prone for developing acute rotavirus diarrhea. Children with acute rotavirus diarrhea should be monitored for the development of severe dehydration, decreased urine output and electrolyte derangement especially hypokalemia. 

scholarly journals Complimentary Feeding Practices in Under-2 Children

2014 ◽  
Vol 13 (3) ◽  
pp. 35-41 ◽  
Author(s):  
Shanjoy Kumar Paul ◽  
Quazi Rakibul Islam ◽  
Sunirmal Roy ◽  
Pranab Kumar Rudra
Keyword(s):  
Statistical Tests ◽  
Statistical Significance ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Medical College ◽  
Data Collection Sheet ◽  
Appropriate Practices ◽  
Detrimental Impact

Background: Complimentary feeding (CF) practices are quiet frustating in our country. Innaproprite foods in first two years of life have detrimental impact on health and growth of children. The aim of the study was to see the present pattern of CF practices, to identify wrong practices and to  develop awareness among medical professionals so that they may encourage appropriate practices more vigorously for reducing child mortality and morbidity.Methods: A cross-sectional study was conducted from October, 2011 to December, 2011 in the Pediatric department (indoor and outdoor) of Sir Salimullah Medical College Mitford Hospital, Dhaka and in a private chamber of a district town of Bangladesh. Four hundred motherchild pairs were selected by non-random convenience sampling method. 6-24 months old children and children under six months (if was on complimentary feeding) were included. Data was collected from the mothers/caregivers of the children in a pretested semi-structured data collection sheet and analyzed by SPSS version 12. Appropriate statistical tests were done. Statistical significance was considered if p value was <0.05. Results: Early initiation was very high (49.25%). Most common first complimentary food was rice gruel with milk (26.56%). Most common current main complimentary food (25.52%) and most common main complimentary food fed in last 24 hours (26.82%) was also rice gruel with milk. Amount of complimentary food per feed was inappropriate in most cases. Frequency of CF was not appropriate in many cases. Fast foods and commercial cereal  were given to 54.8% & 33.33% children respectively. Only 1% mothers/caregivers had sound knowledge about CF. Positive support from family regarding practicing appropriate CF was found in 24.75% cases. Feeding practices were mostly influenced by relatives (25%).Conclusion: CF practices are still not ideal in our country. So, all possible interventions should be applied to improve it and thus to improve child survival.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21020

scholarly journals A cross sectional study on breast feeding practices among mothers in the urban slums of greater Hyderabad, Telangana

2017 ◽  
Vol 4 (5) ◽  
pp. 1606
Author(s):  
Mahesh Kumar Mummadi ◽  
Govind N. Kusneniwar
Keyword(s):  
Breast Feeding ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Bottle Feeding ◽  
Feeding Practice ◽  
Sectional Study ◽  
Cross Sectional ◽  
Skin Contact ◽  
Young Infants

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. After delivery, routine newborn care procedures that separate mother and baby should be delayed for at least the first hour to allow mother and newborn to be in uninterrupted skin-to-skin contact to encourage and promote initiation of breastfeeding within the first hour. National Family Health Survey (NFHS)-4 shows children under 3 years breastfed within one hour of birth was 40.1%. Most of the studies on breast feeding practices including NFHS -4 are limited to either urban or rural but not in urban slums. Hence, present study was conducted especially in urban slums of Greater Hyderabad, Telangana.Methods: A cross sectional study was conducted during May to October 2013 in the urban slums of Hyderabad Outskirts. Out of four slums two were randomly selected for the study. The questionnaire was adapted from Action against hunger (ACF-USA) and modified to suit the study. Information was collected by house to house visit and questionnaire was administered to the mothers who had children less than 3 years of age. Data was entered in MS Excel and analysed using Epi info 7.Results: A total of 112 mothers participated in the study. Of them 97.3% breast fed their children and 2.7% did not. Breast feeding was initiated within an hour among 50.89%. Pre-lacteal feeds given in 23.21%. Of them 34.6% gave buffalo milk, 30.8% gave honey, 19.2% gave sugar water and 15.4% gave infant formula. 83.03% received breast milk within 24 hrs. 54% practiced Exclusive breastfeeding. 33.1% reported having used bottle feeding, 10.7% reported having used a pacifier, of them 19.2% had low milk secretion, 3.85% were busy, 61.54% used it to stop the baby crying.Conclusions: Breast feeding practices were adequate with initiation within one hour was fine which needs to be increased by promoting importance of breast feeding. Practice of pre- lacteal feeds was high. There is a marked difference between exclusively breastfed percentage in different parts of India. 

scholarly journals Cholera Outbreak in Hadhramout, Yemen: The Epidemiological Weeks 2019

2021 ◽  
Vol 8 (1) ◽  
pp. 40-46
Author(s):  
Eidha Ali Bin-Hameed ◽  
Huda Ameen Joban
Keyword(s):  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Laboratory Culture ◽  
Watery Diarrhea ◽  
Contaminated Water ◽  
Age Group ◽  
Cholera Outbreak ◽  
Cross Sectional ◽  
Acute Watery Diarrhea ◽  
Significant Difference

Background and aims: Cholera is a disease of acute watery diarrhea caused by Vibrio cholerae usually transmitted through contaminated water. In this study, we collected and analyzed the related epidemiological data to determine cholera outbreak in Hadhramout, Yemen during the disease epidemic in 2019. Methods: A cross-sectional study was conducted according to screening rapid diagnostic and confirmatory laboratory culture testing methods for diagnosing clinically cholera cases. Results: Suspected cholera cases were tested by rapid diagnostic test (RDT) and 399 (50.5%) out of 794 cases were determined positive, and 76(9.6%) of them were confirmed by laboratory culture test (LCT) with statistically significant difference. Serotype V. cholerae O1 was also detected in patients’ diarrhea. Females were the most affected by the disease manifested in 201 (25.3%) and 43 (5.4%) when tested by RDT and LCT, respectively, with no statistically significant difference. The highest proportion of cholera cases (224) were reported in the age group less than 15 years (56.1%) with statistically significant difference when tested by RDT, and 45(13.3%) when tested by LCT with insignificant statistics difference. Hajr directorate was revealed to be the most affected with 242 (30.47%) followed by Mukalla city directorate with 108 (13.60%) when the cases were tested by RDT; while Hajr and Mukalla city directorates reported 55 (7.0%) and 15 (2.0%), respectively, when it was confirmed by LCT with a statistically significant difference. Conclusion: Severe cholera outbreak occurred during the epidemiological weeks in 2019 in Hadhramout coast. V. cholerae O1 serotype was the causative agent of cholera. Females and age group less than 15 years were the most affected by the disease. Hajr and Mukalla city directorates reported serious outbreak cholera cases.

scholarly journals Child feeding practices in a rural Western Kenya community

2009 ◽  
Vol 1 (1) ◽  
Author(s):  
Grace M. Mbagaya
Keyword(s):  
Rural Communities ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
World Health ◽  
Sources Of Information ◽  
Child Feeding ◽  
Cross Sectional ◽  
Fresh Milk ◽  
Health Organization ◽  
Insufficient Milk

Background: Breastfeeding is nearly universal in Kenya. However, supplementation of breast milk starts too early, thereby exposing the infants to diarrhoea and other infections. Despite the recommendation of the World Health Organization (WHO) of exclusive breastfeeding (EB) from birth to six months, EB is rare and poorly timed and complementary feeding (CF) practices are still common. The study describes feeding practices of children aged 0 to 24 months in the Mumias Division of the Kakamega district in Kenya. Method: Using a cross-sectional study, 180 mothers of infants/children were interviewed using a structured questionnaire. Data on socio-demographic characteristics, feeding practices and sources of information on the same were obtained from the mothers.Results: Whereas 92.1% of the children were breastfed, only 12.2% of the mothers practiced EB up to 4 to 6 months. Mothers introduced liquids and complementary foods at a mean age of 2.7 months and by the fourth month, more than one-third (34.5%) of the mothers had initiated CF. Apart from water, fresh milk, tea, commercial juices, maize-meal/millet porridge, mashed potatoes, bananas and fruits were also introduced. The perceived reasons for introducing these foods included the child being old enough (33.8%), another pregnancy (25%), insufficient milk (20.3%), sickness of the mother or child (10.5%) and in order for the child to eat other foods (11.4%). Over half (53.3%) of the mothers obtained information on BF and CF from friends, neighbours, media advertisements and health workers.Conclusion: Breastfeeding is common; however, mothers do not seem to practice the WHO recommendations. Mothers in this study area and other rural communities need to be empowered with information on the correct BF and CF practices through existing government health services, nongovernmental organisations and other community-based networks, especially in the light of the HIV/AIDS pandemic.

scholarly journals Barriers of Appropriate Complementary Feeding Practices in Under – 2 Children

2016 ◽  
Vol 33 (4) ◽  
pp. 195-201 ◽  
Author(s):  
Shanjoy Kumar Paul ◽  
Sunirmal Roy ◽  
Quazi Rakibul Islam ◽  
Md Zakirul Islam ◽  
Md Akteruzzaman ◽  
...  
Keyword(s):  
Breast Milk ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
High Rate ◽  
Complementary Food ◽  
Complementary Foods ◽  
Cross Sectional

When breast milk is no longer enough to meet the nutritional needs of infants, complementary foods should be added to their diet. It is a very vulnerable period when malnutrition starts in many infants, contributing significantly to high prevalence of malnutrition in under-5 children world-wide. In Bangladesh, complementary feeding (CF) practices are not satisfactory. The objectives of the study were to look into the feeding patterns of under-2 children and to identify the causes which lead mothers/ caregivers to practice inappropriate CF. This cross-sectional study was done in the Pediatric department of Sir Salimullah Medical College Mitford Hospital, Dhaka and in a private chamber from a district town of Bangladesh from October, 2011 to December, 2011. Four hundred mother-child pairs were enrolled by non-random convenience sampling. Different aspects of feeding practices (age of initiation of CF, type of first complementary food, current main complementary food & its quantity, and frequency of CF) were analyzed. Bottle feeding, fast foods and lack of proper family support were most important barriers (p<0.05). High rate of early initiation of CF was mainly due to mothers’ perception that breast milk alone was not enough (81.8%) and main cause of late initiation was refusal of complementary foods by their babies (48.4%). Feeding practices were mainly influenced by relatives (25%), qualified doctors (15.3%), neighbors (14.5%) & mother-in-laws (13.5%). CF practices are still far from ideal. Strengthening of nutrition education to mothers/caregivers and family members/relatives along with awareness building in the community may change the wrong practices.J Bangladesh Coll Phys Surg 2015; 33(4): 195-201

scholarly journals Lactose intolerance in malnutrition: Do we guidelines?

2021 ◽  
Vol 28 (04) ◽  
pp. 564-567
Author(s):  
Mohsin Ali ◽  
Faraz Ahmed ◽  
Sikandar Ali Bhand
Keyword(s):  
Lactose Intolerance ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Watery Diarrhea ◽  
Cross Sectional ◽  
Malnourished Children ◽  
Acute Watery Diarrhea ◽  
Stool Samples ◽  
Reducing Substances ◽  
Study Setting

Objective: To determine the frequency of lactose intolerance in malnourished children presenting with acute watery diarrhea. Study Design: Cross Sectional study. Setting: Department of Pediatrics at The Children’s Hospital & the Institute of Child Health. Period: 20th December 2015 till 20th June 2016. Material & Methods: A total of 225 children fulfilling inclusion criteria were selected. Stool samples were tested for reducing substances after informed consent from parents. Approval from Ethical Committee was taken. Data was entered and analyzed through SPSS 2.0. Results: Out of total 225 patients with age 3 months to 2 years (mean age 13.41±5.93 months), 112 (49.8%) were males and 113 (50.2%) were females. Overall lactose intolerance was observed in 57 (25.3%) patients, out of which, 27 (24.1%) were males and 30 (26.5%) were females. Total of 129 (57.3%) had low socio-economic status out of which 35 (27.1%) had lactose intolerance. Conclusion: In these malnourished children with acute watery diarrhea, lactose intolerance is high and local guidelines are necessary for proper screening and management.

scholarly journals Assessment of Bottle-Feeding Practices in Kassala, Eastern Sudan: A Community-Based Study

2019 ◽  
Vol 7 (4) ◽  
pp. 651-656 ◽  
Author(s):  
Ahmed A. Hassan ◽  
Zainab Taha ◽  
Mohamed A. Abdulla ◽  
AbdelAziem A. Ali ◽  
Ishag Adam
Keyword(s):  
Multivariable Analysis ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
World Health ◽  
Urban Residence ◽  
Community Based ◽  
Cross Sectional ◽  
Health Organization ◽  
Eastern Sudan

BACKGROUND: The World Health Organization encourages exclusive breastfeeding up to six months and avoidance of bottle-feeding. There are few published research articles on the practice of bottle-feeding and associated factors in Sudan. AIM: The study aimed to assess the usage and factors associated with bottle-feeding practices during the first six months of life among mothers with children aged between 6 and 24 months in Kassala, Eastern Sudan. METHODS: A community-based cross-sectional study was conducted from July to September 2017. A structured questionnaire was used to collect relevant data from interviewed mothers. RESULTS: A total of 242 mother-child pairs participated in the study. The mean (standard deviation) of maternal age and children’s age was 27.13 (5.73) years and 12.2 (6.7) months, respectively. From the total, 96/242 (39.7%) used bottle-feeding for their children in the first six months of life. In multivariable analysis, urban residence (Adjusted Odds Ratio [AOR] 1.96, 95% Confidence Interval [CI] (1.06, 3.63), not receiving breastfeeding education (AOR 1.92, 95% CI 1.07, 3.45) and child hospitalization (AOR 1.83, 95% CI 1.02, 3.28) were significantly associated with bottle-feeding. CONCLUSION: There was a high usage of bottle-feeding and it was found to be associated with child hospitalisation. To avoid bottle-feeding, urgent actions are required to support and educate mothers regarding breastfeeding with special attention to urban-residence ones.

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