Co-morbidities in Children with Severe Acute Malnutrition - A Tertiary Care Centre Experience
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 5
Abstract
Introduction: Co-morbidities are responsible for the high incidence of morbidity and mortality in children with severe acute malnutrition (SAM). There is paucity of data regarding pattern of co-morbidities in SAM children. Therefore this study was done to identify the co-morbidities in children with SAM admitted in nutritional rehabilitation centre. Material and Methods: This was a prospective hospital based study done in the Department of Paediatrics, GSVM Medical College, Kanpur, from January 2014 to December 2015. It was carried in 200 children with SAM, diagnosed on the basis of WHO classification. Results: The most common co- morbidity was acute gastroenteritis (36.5%) followed by acute respiratory tract infections (26.5%). Tuberculosis was also present in 21.5% cases. Most of the comorbidities were confined to age group < 2 years of age. Anaemia was present in 95% cases. 25% children had clinical features of rickets and 12% had vitamin A deficiency. Malaria, measles and HIV infection were not found as significant co-morbid conditions. Conclusion: Early detection and prompt management of comorbidities is the key to decrease the mortality and improve overall outcome of SAM children.
Authors and Affiliations
Arun Kumar Arya, Pavika Lal, Pramod Kumar
Keywords
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