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Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study
PURPOSE: Severe acute malnutrition (SAM) is an important public health problem which contributes to significant number of under five deaths. Protocol based management significantly decreases risk of deaths in children with medical complications. METHODS: Outcome of children aged 2 months–5 years adm...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506434/ https://www.ncbi.nlm.nih.gov/pubmed/31110957 http://dx.doi.org/10.5223/pghn.2019.22.3.242 |
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author | Bhatnagar, Sakshi Kumar, Ruchika Dua, Richa Basu, Srikanta Kumar, Praveen |
author_facet | Bhatnagar, Sakshi Kumar, Ruchika Dua, Richa Basu, Srikanta Kumar, Praveen |
author_sort | Bhatnagar, Sakshi |
collection | PubMed |
description | PURPOSE: Severe acute malnutrition (SAM) is an important public health problem which contributes to significant number of under five deaths. Protocol based management significantly decreases risk of deaths in children with medical complications. METHODS: Outcome of children aged 2 months–5 years admitted and fulfilling definition of SAM having diarrhea (group A) was compared to children with SAM having medical complications other than diarrhea (group B). Both groups were managed according to standard recommended protocols and monitored and followed up for 12 weeks after discharge. RESULTS: The average weight gain, defaulter rate, primary failure, secondary relapse rate and readmission rate were similar in both groups. Length of stay in group A was three days longer (p-value=0.039). Discharge rate was comparable with overall 68% of children successfully discharged and 50% of children reaching weight/height >−2 standard deviation at follow-up of 12 weeks. CONCLUSION: The current management protocol is equally effective for managing children with SAM having diarrhea. Good adherence to management protocol of dehydration and timely modification of therapeutic feeds in children with persistent diarrhea results in satisfactory weight gain. |
format | Online Article Text |
id | pubmed-6506434 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition |
record_format | MEDLINE/PubMed |
spelling | pubmed-65064342019-05-20 Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study Bhatnagar, Sakshi Kumar, Ruchika Dua, Richa Basu, Srikanta Kumar, Praveen Pediatr Gastroenterol Hepatol Nutr Original Article PURPOSE: Severe acute malnutrition (SAM) is an important public health problem which contributes to significant number of under five deaths. Protocol based management significantly decreases risk of deaths in children with medical complications. METHODS: Outcome of children aged 2 months–5 years admitted and fulfilling definition of SAM having diarrhea (group A) was compared to children with SAM having medical complications other than diarrhea (group B). Both groups were managed according to standard recommended protocols and monitored and followed up for 12 weeks after discharge. RESULTS: The average weight gain, defaulter rate, primary failure, secondary relapse rate and readmission rate were similar in both groups. Length of stay in group A was three days longer (p-value=0.039). Discharge rate was comparable with overall 68% of children successfully discharged and 50% of children reaching weight/height >−2 standard deviation at follow-up of 12 weeks. CONCLUSION: The current management protocol is equally effective for managing children with SAM having diarrhea. Good adherence to management protocol of dehydration and timely modification of therapeutic feeds in children with persistent diarrhea results in satisfactory weight gain. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2019-05 2019-04-19 /pmc/articles/PMC6506434/ /pubmed/31110957 http://dx.doi.org/10.5223/pghn.2019.22.3.242 Text en Copyright © 2019 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition https://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Bhatnagar, Sakshi Kumar, Ruchika Dua, Richa Basu, Srikanta Kumar, Praveen Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study |
title | Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study |
title_full | Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study |
title_fullStr | Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study |
title_full_unstemmed | Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study |
title_short | Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study |
title_sort | outcome of children with severe acute malnutrition and diarrhea: a cohort study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506434/ https://www.ncbi.nlm.nih.gov/pubmed/31110957 http://dx.doi.org/10.5223/pghn.2019.22.3.242 |
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