A Study of Anemia in Hospitalized Infants at A Tertiary Care Hospital

Authors

  • KS Sahana Yenepoya Medical College, Mangalore
  • Kutty Ghaliyah Yenepoya Medical College, Mangalore
  • Prabhu Anitha Yenepoya Medical College, Mangalore
  • Saldanha Prakash Yenepoya Medical College, Mangalore

Keywords:

anemia, infants, risk factors, weaning technique, iron deficiency

Abstract

Background: Anemia is a significant public health problem that occurs worldwide with higher prevalence noted in children less than 3 years. Objective of the study was to determine the occur- rence, pattern and severity of anemia among hospitalized infants and the risk factors for development of anemia.

Methods: This is a prospective study of hospitalized infants be- tween 6-12 months of age admitted at a tertiary care teaching hospital, Mangalore, Karnataka. between December 2013 to No- vember 2014.

Results: Out of total 260 admissions during the study period 147 (56%) infants were found to be anemic with the mean age group of 9.6 months and majority of them (66%) were admitted for Resp. tract infections. Preterm delivery was seen 34.7% of cases, mater- nal anemia 55.8% , low SES in 60% , not exclusively breast fed in 78.2% , cow’s milk in 76.2%, top up formula feed in 59.9%, im- proper weaning in 51%, LBW in 40%. 39% of infants had PEM. 52% of infants had moderate to severe anemia . 69.4% had micro- cytic and hypochromic anaemia.

Conclusion: The Prevalence of anemia was 56% in the current study with more than 69% of anemic infants having microcytic hypochromic anaemia suggesting iron deficiency still as the major cause for nutritional anemia in infants. Improper Weaning tech- niques, Consumption of cow’s milk, top-up formula feeding, Pre- term Gestation and low birth weight are important Risk factors Associated with development of Moderate to Severe Anemia in infants as noted in our study.

References

De Benoist B, McLean E, Egli I, Cogswell M, editors. Geneva: WHO Press, World Health Organization; 2008. WHO/CDC. Library Cataloguing-in-Publication Data. Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia; p. 40 whqlibdoc.who.int/publications/2008/9789241596657_ eng.pdf

International Institute for Population Sciences (IIPS) andMacro International. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS. 2007.

)dhsprogram.com/pubs/pdf/SR128/SR128.pdf

WHO, UNICEF, UNU. Iron deficiency anaemia: assess- ment, prevention and control, a guide for programme managers. Geneva, World Health Organization, 2001. http://www.who.int/nutrition/publications/micronut rients/anaemia_iron_deficiency/WHO_NHD_01.3/en/ index.html

Saba F, Poornima S, Balaji P A, Varne SRR, Krishna- murthy J. Anemia Among Hospitalized Children at a Multispecialty Hospital, Bangalore (Karnataka). India J Family Med Prim Care 2014; 3(1): 48-53.

F Akin,E Selma,C Kilicaslan,S B Boke,S Arslan. Iron Deficiency Anemia among Hospitalized Children in Konya, Turkey.. Anemia 2013; 1(2): 32-35)

Dos Santos RF, Gonzalez ES, de Albuquerque EC, de Arruda IK, Diniz Ada S, Figueroa JN, Pereira AP.. Prev- alence of anemia in under five-year-old children in a children's hospital in Recife, Brazil. Rev Bras Hematol Hemoter 2011; 33(2): 100 doi: 10.5581/1516-8484.20110028

Lima AC, Lima MC, Guerra MQ, Romani SA, Eickmann SH, Lira PI. Impact of weekly treatment with ferrous sulfate on hemoglobin level, morbid and nutritional sta- tus of anemic infants. J Pediatr (Rio J). 2006; (82): 452-7 Comment in: J Pediatr (Rio J). 2007; 83(1):95

K. Ramakrishnan, P.S. Harish . Hemoglobin Level as a Risk Factor for Lower Respiratory Tract Infections . In- dian J Pediatr 2006 ; 73(10): 881-88313 me- dind.nic.in/icb/t06/i10/icbt06i10p881.pdf

Zlotkin S. Current issues for prevention and treatment of iron deficiency anemia. Indian Pediatr 2002; 39: 125- 129.

Gombur S, Bhawna, Madan N, Lal A,Kela K . Preva- lence and etiology of nutritional anemia among school children of urban slums. Indian J Med Res 2003 Oct; 118: 167-71. www.ncbi.nlm.nih.gov/pubmed/14700351

Infant and child feeding guidelines 2010.infant and child feeding chapter,Indian academy of pediatrics.indian pediatr 2010;47:994-1004

Kambli S. Mother’s Knowledge Regarding Weaning Process in Infants . International Journal of Science and Research 2014; 3(7): 1192-1197.

Spinelli MG1, MarchionSpinelli MG1, Marchioni DM, Souza JM, Souza SB, Szarfarc SC. Risk factors for anemia among 6- to 12-month-old children in Brazil]. Rev Panam Salud Publica. 2005 Feb;17(2):84-91.

Sirdaha M M, Yaghib A, Abdallah R. Yaghia. Iron defi- ciency anemia among kindergarten children living in the marginalized areas of Gaza Strip. Rev Bras Hematol Hemoter 2014; 36(2): 132-138 . www.rbhh.org/en/pdf/90309352/S300/

Jain S, Chopra H, Garg SK, Bhatnagar M, Singh JV. Anemia in children: Early iron supplementation. Indian Journal of Pediatrics 2000; 67(1): 19-21

A Shally, D Rohini, V Tuhina, V Sheila. Anaemia and undernutrition among preschool children in uttar Pra- desh,India Indian pediatrics 2003:40:9985-990

Emily H. Siegel, Rebecca J. Stoltzfus, Subarna K. Khatry, Steven LeClerq, Joanne Katz,4 James M. Tielsch. Epide- miology of anaemia among 4-17month children living in south central Nepal. Eur J Clin Nutr. Feb 2006; 60(2): 228–235. .

apur D, Aggarwal KN. Iron status of children aged 9- 36 months in an urban slum ICDS Project in Delhi. Indi- an Ped 2002; 39: 136-44.

www.ncbi.nlm.nih.gov/pubmed/11867843

Rathna S, Venkatraman J, Govindaraj, Anand S. Patil, Pavithran.. Study of Morphological Pattern of Anemia in Children. Journal of Evolution of Medical and Dental Sciences 2007; 3(27): 7540-7543.

Baker RD, Greer FR. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics 2010; 126(5): 1040-50. www.ncbi.nlm.nih.gov/pubmed/2092382

Kazal LA Jr .Prevention of iron defiency in infants and toddlers. Am Fam Physician. 2002 Oct 1;66(7):1217-24. www.ncbi.nlm.nih.gov/pubmed/12387433

Nutrition in India. Ministry of Health and Family Wel- fare, Government of India. National Family Health Sur- vey (NFHS-3). India 2005-06. Deonar, Mumbai, India: International Institute for Population Sciences; 2009

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Published

2015-06-30

How to Cite

1.
Sahana K, Ghaliyah K, Anitha P, Prakash S. A Study of Anemia in Hospitalized Infants at A Tertiary Care Hospital. Natl J Community Med [Internet]. 2015 Jun. 30 [cited 2024 Mar. 28];6(02):155-60. Available from: https://njcmindia.com/index.php/file/article/view/1155

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Original Research Articles