Saadia Khan, Ibad Ali, Imran Iqbal, Kamran Ishfaq.
Treatment outcome of Severe acute Malnutrition in Children at Nutrition Stabalization Centre Multan Using WHO Guidelines.
Isra Med J Jan ;9(2):59-61.

OBJECTIVES: To determine the outcome of children with severe acute malnutrition treated with WHO recommended guidelines for management of severe acute malnutrition. STUDY DESIGN: Retrospective study. PLACE AND DURATION: At Nutrition Stabilization Centre of The Children's Hospital and the Institute of Child Health Multan from 1st January 2014 to 30th December 2014. METHODOLOGY: Data was collected from outcome register of nutrition stabilization centre. Age, sex, type of malnutrition and outcome of patients were main variables that were determined. Patients with severe acute malnutrition (wt/ht less than -3SD and or bilateral pedal edema) of age 1 month to 60 months were included in this study and given F75-F100 as therapeutic feed as recommended by WHO guideline. RESULTS: Total of 276 patients with severe acute malnutrition were admitted, (44.5%) were less than 6 months while (55.5%) were more than 6 months of age. (56.2%) were males and (43.8%) were females. Of the total respondents, (91.6%) patients were marasmus while (8.4%) were of Khawashikor. About (90%) were discharged from ward and (6%) were expired, rest of (4%) Left against medical advice (LAMA) and discharge on request. Breast feeding was established or re-established in (19%) children less than 6 months during this period, average weight gain using F100 formula was more than 10gm/kg/day. Diarrhea was the most common presentation on admission (40%) followed by pneumonia (30%), Hypoglycemia (10%), UTI (15%), and Otitis Media 5%. CONCLUSIONS: WHO guideline for the management of children with severe acute malnutrition are very useful and helpful in reducing mortality of patients with severe acute malnutrition.

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