Malnutrition is responsible, at least in part, for nearly 6 million deaths in children under five each year. Severely malnourished children have high mortality rates from a variety of diseases (up to 50%), and usually die in the first 48 hours after hospital admission. The Centre for Health and Population Research (ICDDR,B) in Dhaka, Bangladesh treats well over 110,000 children each year and has an overall mortality rate of 0.45%. However, since deaths in severely malnourished children at the ICDDR,B remain at 15%, additional methods are needed to manage illness in these patients.
In collaboration with colleagues from the Louisiana State Medical School in New Orleans, ICDDR,B researchers have outlined a standardized protocol to treat severely malnourished children. The new proto-col includes:
When compared with non-protocol management at the same hospital, the malnourished children given the standardized treatment regimen had fewer episodes of hypoglycemia, less need for intravenous fluids, and a 47% reduction in mortality.
Dr. George Fuchs of the ICDDR,B says: "the lives of many children were saved at our hospital through the use of the standardized treatment regimen. It should be considered for use in all severely malnourished children."
If you would like further information about child health research, or to arrange interviews with authors,please contact Laura Kelley 410-614-5439, lkelley@jhsph.edu , or visit our website at http://ih.jhsph.edu/chr/chr.htm
The Lancet