Effects of infections on severely malnourished children in Kilifi-Mombasa and Dar es Salaam: a comparative study.

Sunguya, Bruno F.

doi:10.4314/dmsj.v14i1.51189

Cited by 8 publications

(12 citation statements)

References 4 publications

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“…A previous Indian study [8] showed only 3.8% of children with past history of measles but we found a higher proportion. Malaria and HIV infection were previously reported as major co-morbidities with total prevalence of 21% and 29.2%, respectively [21] but In our study malaria, HIV were not found to be as comorbid condition.…”

Section: Discussioncontrasting

confidence: 73%

A hospital based Study on Co-morbidities in children with severe acute malnutrition

et al. 2017

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Introduction: Severe acute malnutrition, is characterized by wasting (marasmus), oedema (as a result of kwashiorkor), or both (marasmic kwashiorkor), and occurs mostly in children. Globally, co morbidities such as diarrhoea, acute respiratory tract infections and Malaria, which results from a relatively defective immune status, remain the major causes of death among children with severe acute malnutrition. This study was carried out to find out co-morbidities such as infections and micronutrient deficiencies in children with severe acute malnutrition. Methods: In this hospital based descriptive type of observational study, 125 severe acute malnourished children were included. Patients undergo relevant investigation to find out associated infectious co morbidities. Micronutrient deficiencies assessed by clinical signs. Results: 42% had diarrhea and 27% had acute respiratory tract infections as co morbid condition. Tuberculosis was diagnosed in 13% of cases. Anemia was present in 86% cases. Signs of vitamin B and vitamin A deficiency were seen in 24% and 6% cases. 97% children have inadequate vitamin D levels. Conclusions: Timely identification and treatment of various co-morbidities is likely to break undernutrition-disease cycle, and to decrease mortality and improve outcome. Nearly all SAM patients have inadequacy of Vitamin D. So Vitamin D supplement should be given to all SAM patients.

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Section: Discussioncontrasting

confidence: 73%

A hospital based Study on Co-morbidities in children with severe acute malnutrition

et al. 2017

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“…However, there are also studies that report greater social valorization of sons at the detriment of daughters [ 19 ], including dietary discrimination [ 20 ], thereby dispelling conclusions of a nutritionally advantaged position of female over male children. Other reasons could be that boys were more influenced by environmental stress than girls [ 20 , 21 ]. There were significant age differences in stunting in that a higher proportion of the two and three year olds compared to one, four and five year olds were stunted.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of malnutrition among pre-school children in, South-east Nigeria

et al. 2014

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BackgroundMalnutrition can be defined as a state of nutrition where the weight for age, height for age and weight for height indices are below -2 Z-score of the NCHS reference. It has posed a great economic burden to the developing world.ObjectivesThe objective of this study is to assess the prevalence of malnutrition among pre-school children in abakiliki in Ebonyi state of Nigeria.MethodsThis is a cross-sectional studies that assess the prevalence of malnutrition and associated factors among children aged 1-5 years attending nursery and primary schools. Nutritional assessment was done using anthropometry and clinical examination.ResultsA total of 616 children aged one to 5 years were enrolled into this study. Three hundred and sixty-seven (59.6%) were males while 249 (40.4%) were females. Sixty of the 616 children (9.7%) had acute malnutrition based on WHZ-score. Moderate acute malnutrition (MAM) was present in 33 children (5.3%) while 27 (4.4%) had severe acute malnutrition.ConclusionsThe prevalence of global and severe acute malnutrition using z-score is 9.7% and 4.4% respectively while that of stunting is 9.9% with a male preponderance.

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“…Abrupt weaning and lack of breast feeding contribute to malnutrition in the first year of life, while inadequate intake of protein and calories in the second year of life [5]. In developing countries, malnutrition contributes to more than 50 % of under-five mortality [6][7][8][9]. Malnourished survivors are usually left with mental developmental delay, poor school performance and reduced intellectual achievements [2,6,10].…”

Section: Introductionmentioning

confidence: 99%

“…In developing countries, malnutrition contributes to more than 50 % of under-five mortality [6][7][8][9]. Malnourished survivors are usually left with mental developmental delay, poor school performance and reduced intellectual achievements [2,6,10].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of undernutrition and risk factors of severe undernutrition among children admitted to Bugando Medical Centre in Mwanza, Tanzania

et al. 2016

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Background: Malnutrition is a major public health problem in developing countries including Tanzania, contributing up to 50 % of under-five mortality. East Africa region was among the three United Nations (UN) subregions with the highest prevalence of stunting in 2011. In resource limited countries, the available little resources in hospitals are likely to be used focusing the primary clinical problem that led to admission of children leaving moderate and mild malnutrion unattended. This work was conducted to determine the prevalence of under-nutrition and risk factors associated with severe malnutrition among undernourished children aged 6-60 months admitted to Bugando Medical Centre (BMC) paediatric wards. Method: This was a hospital-based cross sectional study where by 720 children were screened in order to determine their nutritional status. Data were collected through measurement of weight/length or height, mid upper arm circumference (MUAC) and interpretation was done using Z-score (mild malnutrition ≤1SD, moderate malnutrition ≤2SD and severe malnutrition ≤3SD). The socio-demographic data were obtained using a questionnaire that was completed by interviewing children's parents/caregiver. Results: Out of 720 screened children, 402 (55.8 %) were undernourished. Severe malnutrition was found in 178 (24.7 %) children and among these 97 (54.5 %) had marasmus. Risk factors associated with severe malnutrition were children with age less than 2 years, lack of vaccination, taking unbalanced diet, low maternal education and single parent, with p-value (<0.001, < 0.001, <0.001, 0.02, < 0.001) respectively. Conclusion: This study show a high prevalence of malnutrition in hospitalized children and the majority was marasmic. The risk factors associated with severe malnutrition were described. We recommend improving the screening for undernutrition in all admitted patients so that proper management of this problem can be done concurrently with the primary clinical disease that led to admission.

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Effects of infections on severely malnourished children in Kilifi-Mombasa and Dar es Salaam: a comparative study.

Cited by 8 publications

References 4 publications

A hospital based Study on Co-morbidities in children with severe acute malnutrition

A hospital based Study on Co-morbidities in children with severe acute malnutrition

Prevalence of malnutrition among pre-school children in, South-east Nigeria

Prevalence of undernutrition and risk factors of severe undernutrition among children admitted to Bugando Medical Centre in Mwanza, Tanzania

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