Co-morbidities in Children with Severe Acute Malnutrition – A Hospital based Study

Abstract

Objective: To find out the co-morbidities such as infections and micronutrient deficiencies in hospitallized children with severe acute malnutrition. Study design: In this hospital based descriptive type of observational study, conducted at the Department of Pediatrics, SMS Medical College 125 severe acute malnourished children were included. Patients undergo relevant investigation to find out associated infectious co morbidities. Micronutrient deficiencies assessed by clinical signs. Vitamin D status assessed by laboratory test. Results: 42% had diarrhea and 27% had acute respiratory tract infections as co morbid condition. Tuberculosis was diagnosed in 13% of cases. Anemia was present in 86% cases. Signs of vitamin B and vitamin A deficiency were seen in 24% and 6% cases. 97% children have inadequate vitamin D levels. Conclusions: Timely identification and treatment of various co-morbidities is likely to break undernutrition-disease cycle, and to decrease mortality and improve outcome. Nearly all SAM patients have inadequacy of Vitamin D. So Vitamin D supplement J Pediatr Perinatol Child Health 2022; 6 (2): 296-304 DOI: 10.26502/jppch.74050109 Journal of Pediatrics, Perinatology and Child Health 297 should be given to all SAM patients.