Abstract
Introduction: Prevalence of severe acute malnutrition is estimated to be 2.6% among Under 5 years children globally and is estimated to be 6.4% in India as per National Family Health Survey -3. Methodology: This study was conducted to find the clinical profile of children from 6 months to 60 months of age admitted in Nutritional Rehabilitation Centre. Results: The Prevalence of SAM was 5.1%. 77.3% had Wt/Length criteria satisfied. 2.7% had mid arm circumference criteria satisfied. Edema was not observed. The Peak Prevalence of SAM was found in the age group between 6 months to 12 months. Sepsis, Bronchopneumonia and other infections were found to be more common in children with SAM. The average duration of stay was 7.02 days. The average weight gain for children under treatment was 8.9 gm/kg/day. There were no cases of relapse noted in our study period. Conclusion: Weight/Height ratio is the best among the three criteria for identifying SAM. The shorter duration of stay in NRC is a major handicap to the outcome. Establishment of NRC in all medical college hospitals with skilled personnel will be a major investment our country makes to ensure the future of its children.
Highlights
Prevalence of severe acute malnutrition is estimated to be 2.6% among Under 5 years children globally and is estimated to be 6.4% in India as per National Family Health Survey -3
Pediatric Review: International Journal of Pediatric Research Available online at: www.pediatricreview.in 98 | P a g e this criterion should be emphasized to all health care workers and medical students for early identification of Severe Acute Malnutrition (SAM)
In our study we were able find out the causes of morbidity of Severe Acute Malnutrition children in our hospital
Summary
Prevalence of severe acute malnutrition is estimated to be 2.6% among Under 5 years children globally and is estimated to be 6.4% in India as per National Family Health Survey -3. Conclusion: Weight/Height ratio is the best among the three criteria for identifying SAM. Severe Acute Malnutrition (SAM) is defined as a weight-for-height measurement of 70% or less below the median, or three SD or more below the mean National Centre for Health Statistics reference values, the presence of bilateral pitting oedema of nutritional origin, or a mid-upper-arm circumference of less than 110 mm in children age 1-5 years [1]. Prevalence of SAM is estimated to be 2.6% among children less than 5 years globally and is estimated to be 6.4% in India as per National Family Health Survey -3[2]. The median case fatality rate is approximately 23.5% in severe malnutrition, reaching 50% in edematous malnutrition [4]
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