Online ISSN: 2515-8260

REPEATED HOSPITAL ADMISSIONS AMONG UNDER FIVES DUE TO GASTROENTERITIS AND ITS ASSOCIATION WITH THEIR NUTRITIONAL STATUS - A CROSS SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL, TELANGANA, INDIA

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Kalidindi Ritvika1 , Dr. L. Vijayasree2 , Dr. G.Kiranmayee3 , Dr. M. Padmavathi4

Abstract

Background: Acute GE(gastroenteritis) causes diarrhea which contributes to malnutrition through reduction in food intake, decrease in absorption of nutrients and increase in catabolism of nutrient reserves. Malnutrition reduces the immunity to defend against diseases and recurrent infections in turn deprive the body of essential nutrients, which causes a vicious cycle. This study has been taken up with the aim to assess the child’s nutritional status and recommend appropriate dietary regimen to manage the condition and prevent its recurrence. Methods: The informant was asked about the nature and quantity of foods the child usually eats for 7 days (as it forms one complete dietary cycle) to determine the child’s daily calorie and protein intake. The weight-for-age and height-for-age values collected were compared to WHO standard values to determine the type of undernutrition. Total 230 under five children were covered. Results: It was found that 54.8% children were undernourished out of which 15.6%, 15.2%, 13% and 11% were underweight, stunted, wasted, and severely malnourished respectively. Around 11% children had single and 13% had multiple hospital admissions respectively due to GE. Wasted and SAM (severe acute malnutrition) patients showed significant association with multiple hospital admissions due to GE. Conclusion: A statistically significant association has been found between undernourished children and multiple hospital admissions due to GE which shows that more studies with larger sample sizes are required to find the definitive association between nutritional status and recurrence of GE. By strengthening ICDS and redirecting malnourished children to local anganwadis, the child’s nutritional status can be normalized which can prevent further episodes of GE and other infectious diseases.

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