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2015, Number 2

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Revista Habanera de Ciencias Médicas 2015; 14 (2)

Characterization of the patients with kwashiorkor attended in the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden, Yemen

Hussein BMA, García TBE

Language: English
References: 16
Page: 188-197
PDF size: 118.50 Kb.


ABSTRACT

Introduction: each year nine million children under age five years die. Malnutrition contributes to one-third of these deaths, being the mortality rate for kwashiorkor much higher than for marasmus. Objective: to characterize the patients with kwashiorkor attended in the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden, Yemen.
Material and methods: this cross-sectional study was performed on 95 kwashiorkor children (45 males and 50 females) under 5 years of age, 2010-2013. Data was collected from the charts of children at the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden, Yemen. Kwashiorkor was defined as a very low weight for height with edema.
Results: a total of 1978 children under 5 years were diagnosed with malnutrition in this feeding center during the period of study. The kwashiorkor cases were 95 (4.8%). A high percentage of kwashiorkor (92.6%) was found in children ≤4 years old. Although female cases were higher than male cases (52.6% versus 47.4%), the difference was not statistically significant. Around 50.5% of kwashiorkor cases were from Aden city. The proportion of patients who were cured (72.6%) was markedly higher than the proportions for other groups, being the death rate 8.4%; there was a significant relationship between kwashiorkor and outcome among studied children.
Conclusions: the prevalence of kwashiorkor at the therapeutic feeding center in Al-Sadaqa Teaching Hospital is 4.8%, which is higher for ≤4 years old children. It is recommended to promote the knowledge and health education and to improve the economic and cultural conditions of families.


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