Diagnostic performance of visible severe wasting for identifying severe acute malnutrition in children admitted to hospital in Kenya

Bulletin of the World Health Organization

Volumn 89, Issue 12, 2011, Pages 900-906

  Mogeni, Polycarp ^a   Twahir, Hemed ^b   Bandika, Victor ^b   Mwalekwa, Laura ^a   Thitiri, Johnstone ^a   Ngari, Moses ^a   Toromo, Christopher ^a   Maitland, Kathryn ^a   Berkley, James A ^a  

^a KEMRI WELLCOME TRUST RESEARCH PROGRAMME   (Kenya)

^b Department of Obstetrics and Gynaecology   (Kenya)

Author keywords

[No Author keywords available]

Indexed keywords

CHILD HEALTH; HOSPITAL SECTOR; HUMAN IMMUNODEFICIENCY VIRUS; MALNUTRITION;

AGE; ARM CIRCUMFERENCE; ARTICLE; BODY HEIGHT; BODY WEIGHT; CHILD; CHILD HOSPITALIZATION; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DEATH; DIAGNOSTIC VALUE; DISEASE DURATION; DISEASE SEVERITY; FEMALE; HOSPITAL ADMISSION; HOSPITALIZED CHILD; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; KENYA; KWASHIORKOR; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; MUSCLE ATROPHY; PREDICTIVE VALUE; PRESCHOOL CHILD; PUBLIC HOSPITAL; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; WEIGHT FOR HEIGHT Z SCORE;

ACUTE DISEASE; BODY WEIGHT; CHI-SQUARE DISTRIBUTION; CHILD WELFARE; CHILD, PRESCHOOL; CONFIDENCE INTERVALS; FEMALE; HEALTH STATUS INDICATORS; HOSPITALS, PUBLIC; HUMANS; INFANT; INPATIENTS; KENYA; MALE; MALNUTRITION; NUTRITIONAL STATUS; PREDICTIVE VALUE OF TESTS; RISK ASSESSMENT; RURAL POPULATION; URBAN POPULATION; WASTING SYNDROME; WORLD HEALTH; WORLD HEALTH ORGANIZATION;

KENYA;

HUMAN IMMUNODEFICIENCY VIRUS;

EID: 82555193785     PISSN: 00429686     EISSN: 15640604     Source Type: Journal    
DOI: 10.2471/BLT.11.091280     Document Type: Article

References (16)

1. Community-based management of severe acute malnutrition [Internet]. A joint statement by the World Health Organization, the World Food Programme, the United Nations System Standing Committee on Nutrition and the United Nations Children's Fund. Geneva: World Health Organization; 2007. Available from: http://www.who.int/nutrition/topics/statement_commbased_malnutrition/en/index.html. [accessed 5 October 2011].
2. Schofield C, Ashworth A. Why have mortality rates for severe malnutrition remained so high? Bull World Health Organ 1996;74:223-9. PMID:8706239
3. Antwi S. Malnutrition: missed opportunities for diagnosis. Ghana Med J 2008;42:101-4. PMID:19274107
4. English M, Esamai F, Wasunna A, Were F, Agutu B, Wamae A et al. Assessment of inpatient paediatric care in first referral level hospitals in 13 districts in Kenya. Lancet 2004;363:1948-53. doi:10.1016/S01406736(04)16408-8 PMID:15194254
5. Reyburn H, Mwakasungula E, Chonya S, Mtei F, Bygbjerg I, Poulsen A et al. Clinical assessment and treatment in paediatric wards in the north-east of the United Republic of Tanzania. Bull World Health Organ 2008;86:132-9. doi:10.2471/BLT.07.041723 PMID:18297168
6. Hamer C, Kvatum K, Jeffries D, Allen S. Detection of severe protein-energy malnutrition by nurses in The Gambia. Arch Dis Child 2004;89:181-4. doi:10.1136/adc.2002.022715 PMID:14736639
7. Bern C, Zucker JR, Perkins BA, Otieno J, Oloo AJ, Yip R. Assessment of potential indicators for protein-energy malnutrition in the algorithm for integrated management of childhood illness. Bull World Health Organ 1997;75(Suppl 1):87-96. PMID:9529721
8. Simoes EA, Desta T, Tessema T, Gerbresellassie T, Dagnew M, Gove S. Performance of health workers after training in integrated management of childhood illness in Gondar, Ethiopia. Bull World Health Organ 1997;75(Suppl 1):43-53. PMID:9529717
9. Kenya, coast province. Mombasa-informal settlements: Multiple Indicator Cluster Survey 2009. Nairobi: Kenya National Bureau of Statistics; 2010. Available from: http://www.childinfo.org/files/MICS4_Kenya_Mombasa_FinalReport_2009_Eng.pdf. [accessed 5 October 2011].
10. Berkley JA, Lowe BS, Mwangi I, Williams T, Bauni E, Mwarumba S et al. Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med 2005;352:39-47. doi:10.1056/NEJMoa040275 PMID:15635111
11. Berkley J, Mwangi I, Griffiths K, Ahmed I, Mithwani S, English M et al. Assessment of severe malnutrition among hospitalized children in rural Kenya: comparison of weight for height and mid upper arm circumference. JAMA 2005;294:591-7. doi:10.1001/jama.294.5.591 PMID:16077053
12. Pocket book for hospital care of children: guidelines for the management of common illness with limited resources. Geneva: World Health Organization; 2005.
13. Child Growth Standards. WHO Anthro (version 3.2.2., January 2011) and macros [Internet]. Geneva: World Health Organization; 2011. Available from: http://www.who.int/childgrowth/software/en/ [accessed 5 October 2011].
14. Myatt M, Khara T, Collins S. A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs. Food Nutr Bull 2006;27(Suppl):S7-23. PMID:17076211
15. Heikens GT, Bunn J, Amadi B, Manary M, Chhagan M, Berkley JA et al. Case management of HIV-infected severely malnourished children: challenges in the area of highest prevalence. Lancet 2008;371:1305-7. doi:10.1016/ S0140-6736(08)60565-6 PMID:18406865
16. Briend A, Maire B, Fontaine O, Garenne M. Mid-upper arm circumference and weight-for-height to identify high risk malnourished under-5 children. Matern Child Nutr 2011. Forthcoming doi:10.1111/j.1740-8709.2011.00340.x