Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Severe acute malnutrition (SAM) among children below five years of age remains a major embarrassment and impediment to optimal human capital development in India. India is home to greatest population of severely malnourished children in the world and accounts for over 20% of underweight deaths and 2.1 million children do not survive up to 5 years of age The present study was undertaken to evaluate the outcome and weight gain of severe acute malnutrition (SAM) children on F‐100 feeds during hospital stay in tertiary care centre. 198 Children, in the age group of 6‐60 months satisfying WHO criteria for defining Severe Acute Malnutrition (SAM) admitted in Nutrition Rehabilitation Centre, Department of Pediatrics, Govt. General Hospital were included in the study. All the cases enrolled in the study and a detailed history and physical examination findings and anthropometric measurements were recorded in presented proforma at the time of admission. After admission, necessary medical investigations were done as and when required. In the phase of initial stabilization, initially F75 diet was offered to the child if they failed appetite test (definition) and or had medical complication. After stabilization phase, they were shifted to the transition phase in which F100 was started without increasing the volume of feeds gradually, then the volume of feeds was increased and the patient were shifted to rehabilitation phase with F100 diet. Children were discharged as per discharge criteria given by WHO guidelines. After discharge children were called for follow‐ups every 15 days until cured during follow ups children were assessed for weight for height, oedema and MUAC. Mean age of study population is 19.12±12.08. Prevalence of malnutrition was more in rural area than urban area. Majority of the malnourished children were lower and lower middle class of modified Kuppuswamy scaling. 87.8% children were remained admitted for 2 weeks with mean duration of hospital stay was 11.8±5 days. In the study overall weight gain of patients who had WHZ score < 4 SD was more as compared to patient who had WHZ score ‐2 SD, ‐3SD, ‐1SD. weight gain during 1st and 2nd weeks were significantly more than 3rd and 4th weeks. Weight gain in 6‐12 months of age children was more than other age groups. Most common morbidity in our study were gastrointestinal infection, respiratory infection, UTI. The discharge rate was 86.36%, defaulter rate was 11.6% and the death rate was 0.5%. 55% patients attended any follow up most of patients attended to at least 2 follow ups. During hospital stay on F100 feed children improved weight, their WHZ score changed from their admission, 70% children were cured. Most of the children gained in range of good and moderate weight gain. Weight gain related to morbidity score was significant i.e.; weight gain in less morbidity score patients was more.
How to cite this article:
Chippalapally Rambabu and Prathyusha Yellamelli. A Clinical Study on Catch up Growth and Outcome of Severe Acute Malnourished Children of 6 Months to 5 Years age Group on F100 Formulae Feeds.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.223.227
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.223.227