Abstract
Objective: To study the various clinical manifestations, co-morbidities and causative organisms of infections in SAM (severe acute malnutrition) in children aged 6 months to 59 months in a tertiary care hospital of odisha.
Methods: It is a hospital based prospective observational study done in a tertiary care hospital, Cuttack, Odisha during the period of November 2015 to October 2017.All children from 6 months to 59 months of age diagnosed with SAM were included and the clinical manifestations and spectrum of infections in them were evaluated.
Results: In our study population the prevalence of SAM was found to be 2.8%.Fever was the most common symptom (71%), next was vomiting (51%), loose stools (46.8%), cough 46.3 % and poor appetite and/ or weight loss (31%).Most common comorbidities found were diarrhea(46.8%),acute respiratory tract infection (46.3%), septicemia(27.4%) and urinary tract infection(26.3%). The commonest organisms encountered in blood culture in the study were Staphylococcus aureus (48.1%) followed by CONS (28.9%), Group D Streptococcus (11.5%), E.Coli (7.7%), and Klebsiella (3.8%).
Conclusion: Severe acute malnutrition is prevalent in odisha (2.8%) and leads to increased Mortality (6.8%) in children between 6 months to 59 months of age. The commonest presentation to hospital is fever(71%) with comorbid condition acute gastroenteritis(46.8%) followed by respiratory tract infections and septicemia. The most common infective organism affecting children with SAM is staphylococcus aureus(48.1%) followed by CONS (28.9%).
Keywords: SAM (severe acute malnutrition), infections, clinical manifestations, comorbidities, Odisha
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Corresponding Author
Dr Soumini Rath
Department of Pediatrics, Kalinga Institute of Medical Sciences, KIIT Deemed to be University, Bhubaneswar, 751024 Odisha, India
Mobile no 9337799393, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.185
