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Indian Pediatrics

, Volume 51, Issue 2, pp 125–127 | Cite as

Co-morbidities in hospitalized children with severe acute malnutrition

  • Rakesh Kumar
  • Jyoti Singh
  • Karan Joshi
  • H. P. Singh
  • S. Bijesh
Research Brief

Abstract

Objective

To study the co morbidities in hospitalized children with severe acute malnourishment.

Methods

104 severe acute malnourished children were included.

Results

54% had diarrhea and 27.8% had acute respiratory tract infections. Tuberculosis was diagnosed in 22% of cases (60.8% cases in children 6–12 mo old). Malaria and Measles were diagnosed in 3.8% each, and HIV infection was seen in 2.9% cases. Signs of vitamin B and vitamin A deficiency were seen in 14.4% and 5.8% cases, respectively. Malaria and HIV were not found to be major co morbid conditions.

Conclusions

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

Keywords

Co-morbidities Hospitalization India Management Severe acute malnutrition 

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References

  1. 1.
    Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371:243–260.PubMedCrossRefGoogle Scholar
  2. 2.
    Heikens GT. How can we improve the care of severely malnourished children in Africa? PLoS Med. 2007;4: e45.PubMedCentralPubMedCrossRefGoogle Scholar
  3. 3.
    Heikens GT, Bunn J, Amadi B, Manary M, Chhagan M, Berkley JA, et al. Case management of HIV-infected severely malnourished children: challenges in the area of highest prevalence. Lancet. 2008;371:1305–1307.PubMedCrossRefGoogle Scholar
  4. 4.
    World Health Organization. Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers, World Health Organization, Geneva, Switzerland, 1998.Google Scholar
  5. 5.
    Bachou H, Tylleskär T, Deogratias H, Mulindwa K, Tumwine JK. Bacteraemia among severely malnourished children infected and uninfected with the Human immunodeficiency virus-1 in Kampala, Uganda. BMC Infect Dis. 2006;6:160.PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    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;71:703–712.PubMedCentralPubMedGoogle Scholar
  7. 7.
    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;46:322–328.PubMedCrossRefGoogle Scholar
  8. 8.
    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.CrossRefGoogle Scholar
  9. 9.
    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.CrossRefGoogle Scholar
  10. 10.
    Berkowitz FE. Infections in children with severe proteinenergy malnutrition. Pediatr Infect Dis J. 1992;11:750–759.PubMedCrossRefGoogle Scholar
  11. 11.
    Sunguya BF, Koola JI, Atkinson S. Infections associated with severe malnutrition among hospitalised children in East Africa. Tanzania Health Research Bulletin. 2006;8: 189–192.PubMedGoogle Scholar
  12. 12.
    Bhaskaram P. Measles and malnutrition. Indian J Med Res. 1995;102:195–199.PubMedGoogle Scholar
  13. 13.
    Olaf Müller, Michael Krawinkel. Malnutrition and health in developing countries CMAJ. 2005;173:279–286.CrossRefGoogle Scholar
  14. 14.
    Ejaz MS, Latif N. Stunting and micronutrient deficiencies in malnourished children. J Pak Med Assoc. 2010;60:543–547.PubMedGoogle Scholar
  15. 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;5:109–111.PubMedGoogle Scholar

Copyright information

© Indian Academy of Pediatrics 2014

Authors and Affiliations

  • Rakesh Kumar
    • 1
  • Jyoti Singh
    • 1
  • Karan Joshi
    • 1
  • H. P. Singh
    • 1
  • S. Bijesh
    • 1
  1. 1.Department of Pediatrics, Gandhi Memorial Hospital, Shyam Shah Medical CollegeAPS UniversityRewaIndia

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