印度加尔各答一个城市贫民窟中低体重婴儿的发病模式。
Morbidity pattern of low-birth-weight infants in an urban slum of Kolkata, India.
作者信息
Paul Bobby, Saha Indranil, Mukherjee Abhijit, Biswas Ranadeb, Roy Sima, Chaudhuri Ramendra N
机构信息
aDepartment of Community Medicine, Institute of Post Graduate Medical Education and Research bDepartment of Community Medicine, All India Institute of Hygiene and Public Health, Kolkata cDepartment of Community Medicine, Burdwan Medical College and Hospital, Burdwan dPost Graduate Trainee, Community Medicine, R.G. Kar Medical College and Hospital, West Bengal, India.
出版信息
J Egypt Public Health Assoc. 2011;86(3-4):39-43. doi: 10.1097/01.EPX.0000399137.11413.e0.
BACKGROUND
Low birth weight (birth weight<2500 g) is one of the major determinants of neonatal morbidity as well as mortality and these are known to be significantly higher in these infants.
OBJECTIVE
To study the morbidity pattern of low-birth-weight (LBW) infants in an urban slum in Kolkata, India.
MATERIALS AND METHODS
A follow-up community-based study was undertaken in 2004-2005 in an urban slum of Chetla (Kolkata, West Bengal, India), among 126 singleton live-born babies, who were followed up for 9 months at 15±5 days interval by home visits.
RESULTS
Incidence of LBW was 28.6%. Morbidity episodes and hospitalization rate were more in LBW than in normal-birth-weight infants. Overall, gastrointestinal infection and acute respiratory infection were predominant in both LBW and normal-birth-weight babies.
CONCLUSION AND RECOMMENDATIONS
Although morbidity episodes as well as hospitalization rate were lower compared with other studied slums of India, there is still room for further improvement of health status of these babies. Adequate care, exclusive breast-feeding, and proper nutrition of the LBW infants must be ensured to have healthy lifestyle free from morbidity.
背景
低出生体重（出生体重<2500克）是新生儿发病和死亡的主要决定因素之一，众所周知，这些婴儿的发病率和死亡率明显更高。
目的
研究印度加尔各答一个城市贫民窟中低出生体重（LBW）婴儿的发病模式。
材料与方法
2004 - 2005年在印度西孟加拉邦加尔各答切特拉的一个城市贫民窟进行了一项基于社区的随访研究，研究对象为126名单胎活产婴儿，每隔15±5天进行一次家访，随访9个月。
结果
低出生体重发生率为28.6%。低出生体重婴儿的发病次数和住院率高于正常出生体重婴儿。总体而言，胃肠道感染和急性呼吸道感染在低出生体重和正常出生体重婴儿中都占主导地位。
结论与建议
尽管与印度其他研究的贫民窟相比，发病次数和住院率较低，但这些婴儿的健康状况仍有进一步改善的空间。必须确保为低出生体重婴儿提供充分的护理、纯母乳喂养和适当的营养，以使其拥有无发病的健康生活方式。
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