Browsing by Author "Ahmed, Muluken"

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    Managment Outcome of Severe Acute Malnutrition from 6 Months to 5 Years of Age Children Admitted to Yekatit 12 Hospital
    (Addis Ababa University, 2014-08) Ahmed, Muluken; Shimelis, Damte(PhD)
    Background: severe acute malnutrition is major health problem in sub Sahara Africa. WHO prepared a guideline to manage SAM and Ethiopia also prepared its own guideline by adapting WHO guideline to decrease mortality below five percent even in children with HIV/AIDS. Despite applying same guideline there were different case fatality rate reports. Studying adverse outcome of SAM and associations that may lead to improve the outcome is important. Objective: the main objective of this study was assess the outcome of children admitted with SAM to yekatit 12 hospital Method: retrospective descriptive study was conducted in children between 6 months and 5 years of age with severe acute malnutrition admitted to Yekatit 12 hospital from a period of September 2012- September2013. Data was collected from the patients’ chart by using structured questionnaire. Data processing and analysis: compiled and analysed using software Statistical package for social science (SPSS 20). The charts of 193 was retrieved and analysed. Both bivariate and multivariable analysis was performed to determine the outcome of the management of SAM. A p-value of less than 0.05 was taken as statistically significant. Result: The average age of the study participants was 19.6 months, the majority being in the age group between 6months and 2 years of age. Male children accounted for 52.3 % of the study participants. The treatment outcome revealed that 75% of the patients improved while 12.4% died and the remaining 12.4% defaulted. Conclusion: This study shows a high mortality rate of severe acute malnutrition despite treatment with the standard guideline. This findings show that the treatment s goal, which is to keep the mortality below 5 % is far from achievable. The finding of high death rate suggests an urgent need to revisit our practice in the management of severe acute malnutrition and warrants more prospective studies.