Micronutrient supplementation practices in relation to the World Health Organisation 2013 guidelines on management of severe acute malnutrition
Rattachement africain : Afrique du Sud, Malawi. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
In 2013, the World Health Organisation (WHO) updated the recommendations for micronutrient deficiency correction in hospitalised under-5 children with complicated severe acute malnutrition (SAM). This study aimed to describe the micronutrient deficiency correction practices in relation to WHO 2013 recommendations. Data from medical records of under-5 children admitted for SAM management at two hospitals in South Africa and three tertiary hospitals in Ghana were extracted. Micronutrient correction practices were compared to the WHO 2013 recommendations by considering the dosage, timing of micronutrient supplementation (vitamin A, iron and folic acid) and therapeutic feeds administered. In total, 723 medical records were included. Nearly half (48.3%) of the children received at least one of the studied micronutrients as a supplement. Vitamin A was supplemented in 27.4% of the children, while iron and folic acid were supplemented in 9.5% and 34.9%, respectively. Among the children who received vitamin A, 60.1% received the first dose on Day 1 of admission. Also, 46.4% of the iron-supplemented children received iron within the first week of admission. Vitamin A, iron and folic acid were administered within the dose range of 100,000-180,000 IU, 3.1-7.7 mg per kg per day, and 3-5 mg per day, respectively. Additionally, 71.7% of the children reportedly received therapeutic feeds that met WHO recommendations. The micronutrient deficiency correction practices regarding dose and timing differed from the 2013 WHO guidelines. Qualitative studies investigating the reasons for the disparities are recommended.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Micronutrient supplementation practices in relation to the World Health Organisation 2013 guidelines on management of severe acute malnutrition
- Date Crossref
- 08/03/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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North-West University Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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Lilongwe University of Agriculture and Natural Resources Department of Human Nutrition and Health Lilongwe, Malawi (code pays fourni par la source)Université ou école supérieure
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Faculty of Health Science North‐West University Potchefstroom South Africa Centre of Excellence for Nutrition (CEN) Potchefstroom, Afrique du Sud (pays nommé en fin d’affiliation)Université ou école supérieure
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Faculty of Food and Human Science Department of Human Nutrition and Health Lilongwe, Malawi (pays nommé en fin d’affiliation)Université ou école supérieure
North-West University (Afrique du Sud), Department of Human Nutrition and Health — Lilongwe University of Agriculture and Natural Resources (Lilongwe, Malawi) et Centre of Excellence for Nutrition (CEN) — Faculty of Health Science North‐West University Potchefstroom South Africa (Potchefstroom, Afrique du Sud), avec 1 autre affiliation. Pays d’affiliation : Afrique du Sud, Malawi.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.