ABSTRACT
Severe acute malnutrition results in a spectrum of pathological changes in the body including substantial aberrations in hematological system. Aim of the study was to compare children from nutritional rehabilitation center with children from general ward with respect to: hematological profile, prevalence, etiology and severity of anemia. A cross sectional analytical study was done on 350 children aged from 6 to 59 months admitted in M.G.M. Hospital, Warangal. The prevalence of anemia in cases from nutritional rehabilitation center was 89.0% and 45.7% in cases from general ward. 82% cases from nutritional rehabilitation center had microcytic hypochromic picture and 67.4% cases from general ward had normocytic normochromic picture in peripheral smear. Iron deficiency was the most common cause of anemia in both groups, i.e., 92.3% cases from nutritional rehabilitation center and 46.2% cases from general ward. Megaloblastic anemia in 6.5% cases from nutritional rehabilitation center and 7.5% cases from general ward.
ABSTRACT
Background: Childhood undernutrition remains a key public health challenge in India and is a significant contributor of Under-5mortality as these children have significantly higher risk of mortality and morbidity. Nutritional rehabilitation centres have beenset up by Government of India at facility level to provide medical and nutritional care to Severe Acute Malnourshied childrenunder the age of 5 years who have medical complications.Materials and Methods: Retrospective record based observational study conducted in NRC located at SMGS Hospital, GMCJammu. All the children upto 60 months of age, admitted in NRC during the study period, from September2018 to February2019 were included in the study.Aims and Objectives: To know the demographic details and clinical profile of comorbidities in children with Severe AcuteMalnutrition and to assess the outcome of these children.Results: A total of 118 children were admitted in the Nutritional Rehablitation Center during the study period 60% werefemales. 60% of the children were less than 12 months of age 20 % were between 13 and 24 months of life.Children belongedto all the districts, 22% from Jammu, 18% Reasi, 16% Udhampur, 15% Rajouri, 8% Kathua, 7% Poonch and 6% Samba.Bronchopneumonia (39.8%), Diarrhoea (30.5% ) and skin infections(11%) were the commonest morbidities. 73.5% of thechildren had associated anemia. Other comorbidities were septicemia (10.1%), CSOM (5.9%), UTI (5%), measles (5%) andtuberculosis (2.5%).Conclusion: Early diagnosis and standardized protocol based treatment in the NRCs has been very effective in reducing themorbidity and mortality in SAM patients.
ABSTRACT
Introduction: Severe acute malnutrition is widely prevalent problem in developing countries and a major cause of morbidity and mortality in India. nutritional rehabilitation of such patients is very important aspects of management and often inadequate. This study was planned to understand catch up growth in severe acute malnourished patients admitted to rehabilitation ward for providing nutrition. Objectives: (1) To study the weight gain pattern of the patients with severe acute malnutrition admitted to hospital based nutritional rehabilitation center. (2) To study the factors associated with good or poor weight gain in the patients with severe acute malnutrition admitted to nutrition rehabilitation centre. Materials and methods: In this case record based retrospective study; records of severe acute malnourished patients admitted to nutritional. rehabilitation ward during the period of February 2012 to December 2012 were included. Results: A total of 98 patients were admitted during this period for nutrition rehabilitation. Mean baseline weight/ height z score (WHZ), Weight/age z score (HAZ) was - 1.67 (2.48), -4.19 (0.98) and -4.90 (2.50) respectively. 76 patients who stayed for more than 7 completed days were analysed for comparative statistics. Mean WHZ score of this 76 patients was-1.70 (2.25). Mean weight gain of these patients was 5.56 gm/kg/day. Patients age (p=0.03, OR=1.12, 95% CI: 1.040-1.211), educated mother (p=00.048, OR=1.29, 95% CI: 1.320-2.478) and recommended dietary intake of at least 80% (p=0.001, OR=7.94, 95%CI: 2.247-28.79) were the only statistically significant factors associated with good weight gain. Conclusion: Our study highlighted important role of nutritional rehabilitation of the severe acute malnourished children in hospital for early catct-up of the growth.