The Prevalence of Anaemia and Haematological Parameters in Children and Adolescents; A Hospital Based Study

Hossain Sahid Kamrul Alam, Md. Aynal Hoque, M. R. Ahsan, A. Mamun
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Abstract

Introduction: Anemia is a common health problem worldwide. It is an important cause of morbidity and mortality of young and growing children in rural areas of developing countries. Young growing anemic children have various clinical symptoms including, pallor, Jaundice, fever, cough, breathlessness, hyper-pigmentation, tremors, and hepatosplenomegaly. Aim of the Study: Aim of the study was to evaluate the clinical manifestations, and grades of anaemia in different age groups. Methods: This retrospective observational study was conducted in the Department of Paediatrics at Dhaka Shishu Hospital, Dhaka, Bangladesh. A total of 95 patients were enrolled and analyzed in this study from July 2021 to December 2021. Result: In the present study of the prevalence of anemia and hematological parameters in children aged 1-18 years 10(10.53%) children were <1 year, 37(38.95%) were between 1-5 years, 28(29.47%) were aged between 6-10 years, and 11(11.58%) were between 11-15 years. Types of anemia were 46.32% had iron deficiency, 29(30.53%) had thalassemia. The clinical manifestation included 95 (100%) pallor, 79(83.16%) weakness and fatigability, 35(36.84%) fever, 25(26.32%) Icterus, 19(20.00%) shortness of breath, 17(17.80%) hepatomegaly. According to grade of anemia, 21.05% of patients had mild, 46.32% of patients had moderate anemia, and 32.63% had a severe grade of anemia. Conclusion: Besides haematological investigations for typing of anemia, Haemoglobin electrophoresis establishes the disease in haemoglobinopathies. Adequate health and healthy nutritional habits and prescription of Iron supplements are of great importance in the prevention and management of anemia in children assisted by public health services.
儿童和青少年贫血的患病率和血液学参数一项基于医院的研究
贫血是世界范围内常见的健康问题。它是发展中国家农村地区幼龄和成长中的儿童发病和死亡的一个重要原因。年轻的生长贫血儿童有各种临床症状,包括苍白、黄疸、发烧、咳嗽、呼吸困难、色素沉着、震颤和肝脾肿大。研究目的:该研究的目的是评估不同年龄组的临床表现和贫血程度。方法:本回顾性观察性研究在孟加拉国达卡Shishu医院儿科进行。从2021年7月到2021年12月,共有95名患者入组并进行了分析。结果:本组1 ~ 18岁儿童贫血及血液学指标患病率<1岁者10例(10.53%),1 ~ 5岁者37例(38.95%),6 ~ 10岁者28例(29.47%),11 ~ 15岁者11例(11.58%)。缺铁性贫血占46.32%,地中海贫血占29例(30.53%)。临床表现为面色苍白95例(100%),虚弱乏力79例(83.16%),发热35例(36.84%),黄疸25例(26.32%),呼吸急促19例(20.00%),肝肿大17例(17.80%)。根据贫血程度,轻度贫血占21.05%,中度贫血占46.32%,重度贫血占32.63%。结论:除了血液学检查可用于贫血分型外,血红蛋白电泳还可用于血红蛋白病的诊断。在公共卫生服务机构的协助下,适当的健康和健康的营养习惯以及铁补充剂的处方对于预防和管理儿童贫血非常重要。
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