Abstract
Objective: To study the pattern of co-morbidities in children having Severe Acute Malnutrition in MTC attached to a teaching hospital.
Methods: In a span of five years all the children (1082), admitted in MTC of PBM Hospital,S.P.Medical College Bikaner, were studied for presence of one or more comorbid conditions along with severe acute malnutrition.
Results: Out of the 1082 children who were admitted to Malnutrition Treatment Center (MTC), acute respiratory infection is the most common (55.17%) co-morbidity in children with Severe Acute Malnutrition and followed by Anaemia (43.17%). Out of 1082 children having SAM 63.58% children were having one co-morbidity, 26.89% were having two co-morbidity and 9.42% were having more than two co-morbidty.
Conclusions: It is imperative to suspect and anticipate co-morbid condition in these children. High index of suspicion for these co-morbidities is the key to reduce mortality and better outcome in children having acute severe malnutrition.
Keywords: sever acute malnutrition (SAM), malnutrition treatment center (MTC), co-morbidity
References
1. International Institute for Population Studies (IIPS) and Macro International. National Family Health Survey (NFHS-3),2005-2006.IIPS,Mumbai,India,2007.
2. Umesh kapil, HPS Sachdev Indian Pediatrics 651 vol 47,August 17, 2010.
3. Steve Collins Treating Severe Acute Malnutrition seriously, Arch Dis. Child. 2007 May;92(5):453–461.
4. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child under nutrition: global and regional exposures and health consequences. Lancet. 2008;371:243-60.
5. Heikens GT. How can we improve the care of severely malnourished children in Africa? PLoS Med. 2007;4:e45.
6. World Health Organization (WHO) Guidelines for Inpatient Treatment of Severly Malnourished Children. WHO, Geneva, Switzerland, 2003.
7. Indian Academy of Pediatrics (IAP). IAP Guidelines 2006 for hospital-based management of severely malnourished children (adapted from WHO Guidelines). Indian Pedaitr. 2007;44:443-61
8. De Onis M, Monteiro C, Akré J, Clugston G. The worldwide magnitude of protein-energy malnutrition: An overview from the WHO global database on child growth. Bull World Health Organ. 1993;71:703-12.
9. Bernal C, Velásquez C, Alcaraz G, Botero J. Treatment of severe malnutrition in children: Experience in implementing the world health organization guidelines in turbo, Colombia. J Pediatr Gastroenterol Nutr. 2008;46:322-8.
10. Scrimshaw NS, SanGiovanni JP (1997) Synergism of nutrition, infection, and immunity: An overview. Am J Clin Nutr 66:464S–477S.
11. Talbert A, Thuo N, Karisa J, Chesaro C, Ohuma E, Ignas J, et al. Diarrhoea complicating severe acute malnutrition in Kenyan children: A prospective descriptive study of risk factors and outcome. PLoS One. 2012; 7:1.
12. Irena AH, Mwambazi M, Mulenga V. Diarrhea is a major killer of children with severe acute malnutrition admitted to inpatient set-up in Lusaka, Zambia. Nutrition J.2011;10:110.
13. Bhaskaram P. Measles and malnutrition. Indian J Med Res. 1995;102:195-99.
14. Ejaz MS, Latif N. Stunting and micronutrient deficiencies in malnourished children. J Pak Med Assoc. 2010;60:543-7.
15. Chainani N, Sharma P, Meena N, Sharma U. Pattern of vitamin deficiencies among the malnourished preschool children in ICDS blocks of Jaipur city. Indian J Matern Child Health. 1994;5:109-11.
Corresponding Author
Dr Anita Verma
Assistant Professor, Department of Biochemistry, S. P. Medical College,
Bikaner, Rajasthan, INDIA
Phone (or Mobile) No.: +91- 9460995741
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.18
