孟加拉国达卡地区 6 个月后对严重急性营养不良儿童治疗的随访经验。
A follow-up experience of 6 months after treatment of children with severe acute malnutrition in Dhaka, Bangladesh.
机构信息
International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh.
出版信息
J Trop Pediatr. 2012 Aug;58(4):253-7. doi: 10.1093/tropej/fmr083. Epub 2011 Oct 11.
AIM
As there is lack of information about what happens to children after recovery from severe acute malnutrition (SAM), we report their relapse, morbidity, mortality and referral during follow-up period.
METHODS
From February 2001 to November 2003, 180 children completing acute and nutrition rehabilitation (NR) phases of protocolized management were advised for 6-months follow-up. The mean (SD) age was 12 (5) months, 55% were infants, 53% were male and 68% were breast-fed.
RESULTS
The follow-up compliance rate dropped from 91% at first to 49% at tenth visit. The common morbidities following discharge included fever (26%), cough (24%) and diarrhoea (20%). Successful follow-up done in 124 children [68.9% (95% CI 61.8-75.2%)], partial follow-up in 45 [25% (95% CI 19.2-31.8%)], relapse in 32 [17.8% (95% CI 12.9-24%)] and 5 [2.8% (95% CI 1.2-6.3%)] died.
CONCLUSION
Our findings highlight need for follow-up as part of overall management of SAM and recommend an effective community follow-up.
目的
由于缺乏关于严重急性营养不良（SAM）患儿康复后情况的信息，我们报告了他们在随访期间的复发、发病、死亡和转归情况。
方法
2001 年 2 月至 2003 年 11 月，180 名完成协议化管理的急性和营养康复（NR）阶段的患儿被建议进行 6 个月的随访。平均（SD）年龄为 12（5）个月，55%为婴儿，53%为男性，68%为母乳喂养。
结果
随访依从率从第 1 次就诊时的 91%降至第 10 次就诊时的 49%。出院后的常见并发症包括发热（26%）、咳嗽（24%）和腹泻（20%）。124 名儿童（68.9%（95%CI 61.8-75.2%））成功随访，45 名儿童（25%（95%CI 19.2-31.8%））部分随访，32 名儿童（17.8%（95%CI 12.9-24%））复发，5 名儿童（2.8%（95%CI 1.2-6.3%））死亡。
结论
我们的研究结果强调了随访作为 SAM 整体管理的一部分的必要性，并建议进行有效的社区随访。
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