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- Title
A Follow-up Experience of 6 months after Treatment of Children with Severe Acute Malnutrition in Dhaka, Bangladesh.
- Authors
Ashraf, Hasan; Alam, Nur H.; Chisti, Mohammod J.; Mahmud, Sayeda R.; Hossain, Md. I.; Ahmed, Tahmeed; Salam, M. A.; Gyr, N.
- Abstract
Aim: As there is lack of information about what happens to children after recovery from severe acute malnutrition (SAM), we report their relapse, morbidity, mortality and referral during follow-up period. Methods: From February 2001 to November 2003, 180 children completing acute and nutrition rehabilitation (NR) phases of protocolized management were advised for 6-months follow-up. The mean (SD) age was 12 (5) months, 55% were infants, 53% were male and 68% were breast-fed. Results: The follow-up compliance rate dropped from 91% at first to 49% at tenth visit. The common morbidities following discharge included fever (26%), cough (24%) and diarrhoea (20%). Successful follow-up done in 124 children [68.9% (95% CI 61.8–75.2%)], partial follow-up in 45 [25% (95% CI 19.2–31.8%)], relapse in 32 [17.8% (95% CI 12.9–24%)] and 5 [2.8% (95% CI 1.2–6.3%)] died. Conclusion: Our findings highlight need for follow-up as part of overall management of SAM and recommend an effective community follow-up.
- Subjects
DHAKA (Bangladesh); BANGLADESH; MALNUTRITION in children; FOLLOW-up studies (Medicine); CHILD mortality; JUVENILE diseases; DIARRHEA; DISEASE relapse; THERAPEUTICS
- Publication
Journal of Tropical Pediatrics, 2012, Vol 58, Issue 4, p253
- ISSN
0142-6338
- Publication type
Article
- DOI
10.1093/tropej/fmr083