Management of severe malnutrition and diarrhea

Children with severe malnutrition and diarrhea have high mortality rates that have been attributed to faulty case-management. Health workers are often unaware of the unique treatment requirements of severely malnourished children resulting in improper case-management. Moreover, the lack of prescript...

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Bibliographic Details
Published in:Indian journal of pediatrics 2001-01, Vol.68 (1), p.45-51
Main Authors: Ahmed, T, Begum, B, Badiuzzaman, Ali, M, Fuchs, G
Format: Article
Language:English
Subjects:
Acute Disease
Case Management
Child
Child Nutrition Disorders - complications
Child Nutrition Disorders - diagnosis
Child Nutrition Disorders - therapy
Diarrhea - complications
Diarrhea - diagnosis
Diarrhea - therapy
Humans
Practice Guidelines as Topic
Protein-Energy Malnutrition - complications
Protein-Energy Malnutrition - diagnosis
Protein-Energy Malnutrition - therapy
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Summary:Children with severe malnutrition and diarrhea have high mortality rates that have been attributed to faulty case-management. Health workers are often unaware of the unique treatment requirements of severely malnourished children resulting in improper case-management. Moreover, the lack of prescriptive guidelines promotes the exercise of discretion in case-management that is often detrimental. Appropriate feeding from the start of treatment, routine micronutrient supplementation, broad-spectrum antibiotic therapy, less use of intravenous fluids for rehydration, and careful management of complications are factors that can reduce death, morbidity and cost of treating children with severe malnutrition and acute illnesses including diarrhea. In this paper is discussed a standardized protocol based upon the above mentioned factors for the management of severely malnourished children with acute illnesses including diarrhea. Implementation of the protocol resulted in a 47% reduction in mortality in these children.
ISSN:0019-5456
0973-7693
DOI:10.1007/BF02728857