LABORATORY ABNORMALITIES IN ACUTE DIARRHOEA IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Diarrhoeal diseases are major cause of hospitalisation and child deaths globally. Together, they account for approximately one in six deaths among children younger than five years. In Indian health institutions, up to a third of paediatric admissions are due to diarrhoeal diseases and up to 17% of all deaths in indoor paediatric patients are due to diarrhoea. The objectives of this study are To determine the incidence and clinical importance of Hypokalaemia, Hypernatraemia, Hyponatraemia in children with acute diarrhoeal illness. To assess renal function in acute gastroenteritis. MATERIALS AND METHODS It is proposed to conduct a descriptive study with 100 children in the age group of 1 month to 5 years admitted to Paediatric ward with history of diarrhoea, significant dehydration and weight loss at Katuri Medical College and Hospital from November 2014 to November 2015 over a period of 1 year. Analysis will be done using appropriate statistical tools. RESULTS Mean age in the male children suffering from diarrhoea are 52%, which is more than females. 39% have some signs of dehydration vs 69% of no signs of dehydration, 39% suffered from paralytic ileus. 40% of the children have higher creatinine levels, i.e. into AKI. 46% are Hyponatraemic, 15% of Hypernatraemic and 17% are hypokalaemic. In this study, most of the patients are Hyponatraemic, Hypernatraemic and Hypokalaemic. CONCLUSION There is huge impact of diarrhoea on Biochemical abnormalities, especially Hyponatraemia and Hypokalaemia. Early treatment with ORS has been associated with improvement in the children to prevent morbidity and mortality.
Authors and Affiliations
Chandra Sekhar Kondapalli, Ravideep Yalavarthy
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