The profile and clinical picture of children with undernutrition admitted to National District Hospital.
Breast Feeding
/ statistics & numerical data
Child Development
/ physiology
Child Nutrition Disorders
/ diagnosis
Child, Preschool
Female
Head
/ anatomy & histology
Hospitalization
/ statistics & numerical data
Hospitals, District
Humans
Infant
Infant, Low Birth Weight
/ physiology
Male
Nutritional Status
Retrospective Studies
South Africa
South Africa
Undernutrition
childhood development
intervention
low birth weight
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2020
2020
Historique:
received:
29
07
2020
accepted:
27
10
2020
entrez:
8
2
2021
pubmed:
9
2
2021
medline:
5
3
2021
Statut:
epublish
Résumé
undernutrition has a profound effect on growth, development and susceptibility to infectious disease. In Africa, it was found that undernutrition is an underlying factor in around 35% of the preventable deaths of children under the age of 5 years. The first 1000 days of life is most crucial for childhood development. Undernourished children in their first 1000 days of development experience a significant reduction in brain development which cannot be regained later in life. The aim was to describe the profile and clinical picture of admitted children with undernutrition, in order to identify areas for intervention. a descriptive study design with an analytical component was used. Data for undernourished admitted children, ages 2-71 months, for the study period 2016-2017 at the study site were included in the study. Data were collected from patient files and summarised by frequencies and percentages. data were collected from 172 patient files, which is > 80% of all children eligible for inclusion. Most (88.0%) of the children had a weight for age < -2 SD and 18.6% had bilateral pitting oedema. More than 80% of the children were still in their first 1000 days of life, 42.8% were born with low birth weight and 24.2% were not breastfed. Head circumference was only recorded for 16.3%. Presenting symptoms were cough, fever and diarrhea - in line with those covered in the Integrated Management of Childhood Illness (IMCI). most children presented within the first 1000 days of life, making focussed interventions possible. Areas identified for intervention were babies with low birth weight and babies not breastfed. As most children presented with IMCI symptoms, nurses should also assess the nutritional status of these children in accordance with the guidelines. Lack of anthropometric measurements and poorly recorded feeding histories should be addressed.
Identifiants
pubmed: 33552355
doi: 10.11604/pamj.2020.37.237.25261
pii: PAMJ-37-237
pmc: PMC7847222
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
237Informations de copyright
Copyright: Hanneke Brits et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
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