Aplicación de la guía de la Organización Mundial de la Salud para el tratamiento de los niños con desnutrición grave

ABSTRACT: Adaptation and application of the WHO protocol for the treatment of the severe undernourished children Materials and methods: This is a descriptive and prospective study. It was conducted during one year on 53 under- five severely undernourished children, i.e. weight / size below minus thr...

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Detalles Bibliográficos
Autores: Bernal Parra, Carlos Alberto, Alcaraz López, Gloria Margarita, Giraldo Barrera, Victor, Lopera Marín, Jhon, Botero López, Jorge Eliécer
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2004
País:Colombia
Institución:Universidad de Antioquia
Repositorio:Repositorio UdeA
Idioma:español
OAI Identifier:oai:bibliotecadigital.udea.edu.co:10495/5026
Acceso en línea:http://hdl.handle.net/10495/5026
Access Level:acceso abierto
Palabra clave:Trastornos nuticionales
Dietoterapia
Kwashiorkor
Marasmo
Nutritional disorders
Dietotherapy
Wasting
Descripción
Sumario:ABSTRACT: Adaptation and application of the WHO protocol for the treatment of the severe undernourished children Materials and methods: This is a descriptive and prospective study. It was conducted during one year on 53 under- five severely undernourished children, i.e. weight / size below minus three standard deviations, or showing edemas. Some suffered it under the two criteria. The WHO criteria were applied. Results: 25 children (47.1%) suffered kwashiorkor, 24 (45,2%) wasting and 4 (7.5%) mixed undernourishment. The median age was 13.5 months (DE 11.8) The access associated morbility comprised acute and persistent diarrhea, pneumonia, dermopathies, sepsis, urinary infection and anemia. The median hospitalization was 21 days (DE 9,47). 35 children (66%) reached the target of minus one standard deviation in weight / size, 14 (26.7%) were discharged before reaching the targeted weight and 4 (7.3%) deceased. Discussion: in recent years severe malnutrition is back in Colombia and the treatment of these children is not rovided by the current social security system. The World Health Organization considers that undernourishment is associated with 60% of deaths in minors under five. In a first level hospital the application of the WHO protocol was successful. Other studies point satisfactory results with the application of the protocol.