Co-morbidities in hospitalized children with severe acute malnutrition

Abstract

Timely identification and treatment of various co-morbidities is likely to break undernutrition-disease cycle, and to decrease mortality and improve outcome.

Outcome and Comorbidities Associated With Severe Acute Malnutrition: Admitted at Nutrition Rehabilitation Centre (Nrc) of a Tertiary Care Centre

“…13,14,15 In our study severe acute malnutrition was more common among 12-23 months age group followed by 6-11 months, this finding was similar to previous studies, however in certain studies higher prevalence is reported in the age group of 6 months to 1 years. 17 In present study, non-oedematous malnutrition (89.5%) was more common than oedematous malnutrition (10.5%), this finding was similar to previous studies, 16,18 however in another study Kwashiorkor was the most common type of severe acute malnutrition, 12 and majority of families belonged to lower socio-economic status, 10,17 In present study, 36.5% had acute gastroenteritis and 26.5% had acute respiratory tract infections. Tuberculosis was diagnosed in 21.5% of cases.…”

“…3 Nearly 25% of the paediatrics hospital beds in India are occupied by children suffering from malnutrition and around 80% of hospitalized children are malnourished to some extent. 4 Malnourished children are more susceptible to various associated complications 5 and malnutrition is most common cause of immunodeficiency worldwide.…”

A Case Control Study of Hematological Changes in Children with Protein Energy Malnutrition Attending Gauhati Medical College and Hospital.

“…24 In another Indian study by R. Kumar et al (Madhya Pradesh, 2013) 88.5% children had anemia, 7.6% had mild anemia, 55.7 % had moderate anemia and 24% had severe anemia. 25 in a study done by Ubesie et al (in Nigeria 2012), they found severe anemia in 24.2% of the patients with PEM. 26 The cases had almost equal distribution of microcytic (34%), macrocytic (32.9%) and normocytic (31.8 %) anemia whereas in the controls most common anemia found was microcytic anemia (46.8%).…”

Integration of childhood TB into guidelines for the management of acute malnutrition in high burden countries

“…8 Data on TB prevalence among acutely malnourished children vary widely: 2-24% of acutely malnourished children in high TB burden settings have been diagnosed with TB. [9][10][11][12][13] The wide range observed between studies can be partly attributed to the use of varying screening strategies and access to TB diagnostics, as well as varying clinical capacity for childhood TB diagnosis and treatment among hospitalized children. Even at referral hospitals, access to diagnostic tests may be limited, 14 highlighting the need for improved access to services across all levels of the health care system, including appropriate referral pathways.…”