Re-feeding syndrome in children treated for severe acute malnutrition

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL

Rawal Medical Journal Pub Date : 2023-01-01 DOI:10.5455/rmj13443127-1672162726

A. Farhat, Hamayun Anwar, Rabia Zeb, M. Qasim

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Abstract

Objective: To determine the prevalence of re-feeding syndrome in children treated for severe acute malnutrition (SAM). Methodology: This cross-sectional study was performed at Department of Pediatrics, King Abdullah Teaching Hospital, Mansehra, Pakistan from October 2020 to April 2021. A total of 186 children of either gender aged 1-5 years and admitted with SAM were included. Children with SAM were given F75-proxy every two hours for 2 days and then were fed with a locally made formula aimed to replace F-100 (F100-proxy), 6 times a day for a further duration of 2 days. After completing three days at the hospital, blood was drawn for measurements of blood and serum levels of phosphate, potassium, calcium and magnesium. Results: In a total of 186 children with SAM, the mean age was 3±1.21 years while 100 (53.8%) children were aged between 1-3 years. There were 146 (78.5%) boys and 40 (21.5%) girls representing a male to female ratio of 3.5:1. Re-feeding syndrome was noted among 25 (13.4%) children. Conclusion: Children with SAM were found to have high prevalence of re-feeding syndrome. Early recognition with appropriate treatment can be the key to a successful outcome in these children.

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治疗严重急性营养不良儿童的再喂养综合征

目的:了解严重急性营养不良患儿再喂养综合征的发生率。方法:本横断面研究于2020年10月至2021年4月在巴基斯坦曼塞赫拉阿卜杜拉国王教学医院儿科进行。本研究共纳入186名年龄在1-5岁之间的儿童，不论男女，均有SAM。患有SAM的儿童每两小时给予F75-proxy 2天，然后用当地配制的配方奶粉替代F-100 (F100-proxy)，每天6次，持续2天。在医院住了三天后，抽血测量血液和血清中磷酸盐、钾、钙和镁的含量。结果:共186例SAM患儿，平均年龄(3±1.21)岁，其中100例(53.8%)患儿年龄在1 ~ 3岁之间。男生146名(78.5%)，女生40名(21.5%)，男女比例为3.5:1。25例(13.4%)患儿出现再喂养综合征。结论:SAM患儿再喂养综合征患病率较高。早期识别和适当的治疗是这些儿童取得成功的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rawal Medical Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

0.70

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0.00%

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期刊介绍： RMJ is a general Medicine publication and accepts oorigial articles, editorials, case reports and commentaries. It aims to dessiminate medical knowldge to professional community.