Prevalence of diarrhea among severely malnourished children admitted in Government Hospital, Lahore, Pakistan

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Research Paper 01/08/2020
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Prevalence of diarrhea among severely malnourished children admitted in Government Hospital, Lahore, Pakistan

Sana Noreen, Owais Arshad, Zergham Mazhar, Maryam Shahzadi, Umama Fatima, Huma Amjad
Int. J. Biomol. & Biomed.11( 1), 1-7, August 2020.
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Abstract

Mortality rate of children under the age of five has reduced worldwide, but still the probability of a child dying before the age of five is greatest in underdeveloped countries. Pakistan reports child mortality rates in same bracket as other South Asian countries due to malnutrition and diarrhea. To determine the prevalence and factors associated in children less than five years of age a cross sectional study was conducted with mothers whose children were admitted in pediatric government Hospital, Lahore. A convenient sample of 101 children (6-59 months, 53 males and 48 females) suffering from malnutrition and diarrhea were selected from hospital. Data about socio demographic, anthropometric, clinical and dietary variables were collected and analyzed by using SPSS version 16. The results showed that mean age of patients was 19.36 ± 10.5 months. The illiteracy rate among mother and father of patients was 94.1% and 69.3% respectively. 94.1% of the patients were breastfed while 47.5% of the patients were on bottle feed with breast milk. 66.3% patients families has very low-income rate while 33.7% were satisfactory. 40.6% patients were not vaccinated against immunization. Out of 101 patients, 39.6% of the patients had diarrhea while 6.9% of the patients had chronic diarrhea. The prevalence rate of diarrhea (39%) was less among children who were younger than 18 months as compared to those who were above 18 months (40.5%). The most significant factors that caused the incidence of diarrhea in children was form of water storage system, complementary feeding practices, and hand wash cleaning materials. This study concluded that government, nongovernmental organizations and families living with children and mothers could cooperate on strategies to minimize the risks of the diarrhea among children less than five years of age.

VIEWS 32

Abad M, Malekafzali H, Simbar M, Mosaavi HS, Khoei EM. 2016. Association between electromagnetic field exposure and abortion in pregnant women living in Tehran. International Journal of Reproductive BioMedicine 14(5), 347.

Al Baki A, Rahman AM, Khan MSI, Rabbany MA, Shultana K, Chowdhury D, Haque MM. 2019. Clinical Improvement After Oral Magnesium Supplementation in Children with Severe Acute Malnutrition-An Observational Study. The Journal of Pediatrics 5(4), 209-213.

Bala S, Kunduru CS, Pisudde PM, Pandve HT. 2019. Role And Barriers of Using Zinc And ORS Combined in Diarrheal Diseases among Under Five Children: A Narrative Review. Journal of Community Health 7(2).

Baral R. 2016. Hand Hygiene: Do we follow it seriously?. The Journal of Pathology Nepal 6(12).

Bivins AW, Sumner T, Kumpel E, Howard G, Cumming O, Ross I, Brown J. 2017. Estimating infection risks and the global burden of diarrheal disease attributable to intermittent water supply using QMRA. Environmental and Science Technology 51(13), 7542-7551.

Blaszkowska J, Góralska K. 2016. Clinical cases of parasitoses and fungal infections important from medical point of view. Annals of parasitology 62(4), 14.

Block S, Masters WA, Mulmi P, Shively G. 2016. Climatic conditions and child height: Sex-specific vulnerability and the protective effects of sanitation and food markets in Nepal. AAEA, 8917.

Brodish PH, Hakes JK. 2016. Quantifying the individual-level association between income and mortality risk in the United States using the National Longitudinal Mortality Study. Social Sciences and Medicine 170, 180-187.

Conkle J, Ramakrishnan U, Flores-Ayala R, Suchdev PS, Martorell R. 2017. Improving the quality of child anthropometry: Manual anthropometry in the Body Imaging for Nutritional Assessment Study (BINA) 12(12).

Dietrich CF, Goudie A, Chiorean L, Cui XW, Gilja OH, Dong Y, Chou YH. 2017. Point of care ultrasound: a WFUMB position paper. Ultrasound in Medicine and Biology 43(1), 49-58.

Dukhi N, Sartorius B, Taylor M. 2017. Mid-upper arm circumference (MUAC) performance versus weight for height in South African children (0–59 months) with acute malnutrition. South African Journal of Clinical Nutrition 30(2).

Freedman SB, Soofi SB, Willan AR, Williamson-Urquhart S, Siddiqui E, Xie J, Bhutta ZA. 2019. Oral Ondansetron Administration to Dehydrated Children in Pakistan: A Randomized Clinical Trial. Pediatric 144(6).

Gebremedhin S, Mamo G, Gezahign H, Kung’u J, Adish A. 2016. The effectiveness bundling of zinc with Oral Rehydration Salts (ORS) for improving adherence to acute watery diarrhea treatment in Ethiopia: cluster randomised controlled trial. BMC Public Health 16(1), 457.

Gezehegn D, Abay M, Tetemke D, Zelalem H, Teklay H, Barak Z, Medhin G. 2017. Prevalence and factors associated with intestinal parasites among food handlers of food and drinking establishments in Aksum Town, Northern Ethiopia. BMC Public Health 17(1), 819.

Greenland K, Chipungu J, Chilengi R, Curtis V. 2016. Theory-based formative research on oral rehydration salts and zinc use in Lusaka, Zambia. BMC public health 16(1), 312.

Gutin I. 2018. In BMI we trust: Reframing the body mass index as a measure of health. Social Theory & Health 16(3), 256-271.

Håkanson C, Öhlén J, Kreicbergs U, Cardenas-Turanzas M, Wilson DM, Loucka M, Ramos MR. 2017. Place of death of children with complex chronic conditions: cross-national study of 11 countries. The Europian Journal of Pediatrics 176(3), 327-335.

Joffe A, Anton N, Lequier L, Vandermeer B, Tjosvold L, Larsen B, Hartling L. 2016. Nutritional support for critically ill children. CDSR (5).

Lembo AJ, Lacy BE, Zuckerman MJ, Schey R, Dove LS, Andrae DA, Covington PS. 2016. Eluxadoline for irritable bowel syndrome with diarrhea. The New England Journal of Medicine 374(3), 242-253.

Liu L, Hill K, Oza S, Hogan D, Chu Y, Cousens S, Black RE. 2016. Levels and causes of mortality under age five years. Reproductive Maternal Neonatal and Child Health 71.

Murdoch DR, Howie SR. 2018. The global burden of lower respiratory infections: making progress, but we need to do better. Lancet Infectious. Diseases 18(11), 1162-1163.

Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC. 2016. Group TLBS. Why invest, and what it will take to improve breastfeeding practices. The Lancet 387(10017), 491-504.

Schiller LR, Pardi DS, Sellin JH. 2017. Chronic diarrhea: diagnosis and management. Clinical Gastroenterology and Hepatology 15(2), 182-193.

Siregar AY, Pitriyan P, Walters D. 2018. The annual cost of not breastfeeding in Indonesia: the economic burden of treating diarrhea and respiratory disease among children (<24mo) due to not breastfeeding according to recommendation. International breastfeeding Journal 13(1), 10.

Werneck AO, Silva DR, Collings PJ, Fernandes RA, Ronque ER, Barbosa DS, Cyrino ES. 2016. Biological maturation, central adiposity, and metabolic risk in adolescents: a mediation analysis. Childhood Obesity 12(5), 377-383.

Zivich P, Lapika B, Behets F, Yotebieng M. 2018. Implementation of steps 1–9 to successful breastfeeding reduces the frequency of mild and severe episodes of Diarrhea and respiratory tract infection among 0–6 month infants in Democratic Republic of Congo. The Maternal and Child Health Journal 22(5), 762-771.