沙特阿拉伯西北部一家母婴保健诊所就诊婴儿中铁缺乏性贫血的高患病率。
High prevalence of iron deficiency anemia in infants attending a well-baby clinic in northwestern Saudi Arabia.
作者信息
Al Hawsawi Zakaria M, Al-Rehali Sami A, Mahros Amani M, Al-Sisi Ali M, Al-Harbi Khalid D, Yousef Ahmed M
机构信息
Department of Pediatrics, Madinah Maternity & Children's Hospital, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia. E-mail:.
出版信息
Saudi Med J. 2015 Sep;36(9):1067-70. doi: 10.15537/smj.2015.9.11844.
OBJECTIVES
To determine the prevalence of iron deficiency anemia (IDA) in infants aged 6-24 months attending the well-baby clinic in primary health care centers (PHCCs).
METHODS
This cross-sectional epidemiological study was conducted in the Northwestern region of Saudi Arabia from April 2013 to January 2014 in 5 randomly selected PHCCs. The sample size comprised 500 infants, with 100 infants screened from each PHCC. Blood samples were obtained for estimation of hemoglobin and serum ferritin levels.
RESULTS
Out of 500 infants, 246 (49%) cases had IDA with a mean age of 15.4 ± 6.5 months, with 130 (53%) males, and 116 (47%) females (p=0367). Out of 274 Saudi infants, 126 (51%) cases were diagnosed as IDA.
CONCLUSION
Iron deficiency anemia is very common in Saudi infants aged 6-24 months. A national program directed for primary prevention and early discovery of IDA in Saudi infants is recommended at PHCCs system. Iron supplementation is to be given at early infancy with universal screening of hemoglobin and ferritin estimation to all infants at 12 months of age.
目的
确定在初级卫生保健中心（PHCCs）的母婴保健门诊就诊的6至24个月婴儿中铁缺乏性贫血（IDA）的患病率。
方法
这项横断面流行病学研究于2013年4月至2014年1月在沙特阿拉伯西北部地区的5个随机选择的PHCCs进行。样本量包括500名婴儿，每个PHCC筛查100名婴儿。采集血样以评估血红蛋白和血清铁蛋白水平。
结果
在500名婴儿中，246例（49%）患有IDA，平均年龄为15.4±6.5个月，其中男性130例（53%），女性116例（47%）（p=0.367）。在274名沙特婴儿中，126例（51%）被诊断为IDA。
结论
铁缺乏性贫血在沙特6至24个月的婴儿中非常常见。建议在PHCCs系统实施一项针对沙特婴儿IDA初级预防和早期发现的国家计划。应在婴儿早期进行铁补充，并对所有12个月大的婴儿进行血红蛋白和铁蛋白评估的普遍筛查。
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