TO STUDY AND COMPARE THE EFFECTS OF CLINICAL PARAMETERS IN PATIENTS WITH SEVERE ACUTE MALNUTRITION WITH SUSPECTED SEPSIS.

Dr Raja Goswami; Dr Alfia A Sami; Dr Avyact Agarwal

Volume : VI, Issue : I, January - 2017

TO STUDY AND COMPARE THE EFFECTS OF CLINICAL PARAMETERS IN PATIENTS WITH SEVERE ACUTE MALNUTRITION WITH SUSPECTED SEPSIS.

Dr Raja Goswami, Dr Alfia A Sami, Dr Avyact Agarwal

Abstract :

Sepsis in patients with severe acute malnutrition may not always be associated with classical signs of infection such as hyperthermia, diarrhea, respiratory illness, urinary tract infections. Some otherwise non obvious clinical signs may sometimes be the clue to an underlying infection in patients with severe acute malnutrition. Prompt recognition of these signs and early intervention may result in a significantly improved outcome. Material and methods : In this study 72 children aged 6 months-60 months, classified as SAM children as per WHO criteria were with obvious signs of infections such as hyperthermia, diarrhea, respiratory illness, urinary tract infections or with non obvious signs of infections such as hypothermia, poor oral acceptance, hypoglycemia are included in the study. Patients were divided into groups on the basis of presence or absence of clinical parameters and analysed. Results and conclusion : Of the parameters included in our study, decreased oral acceptance was the most commonly associated parameter which was present in 54.16 percent of the study population. Blood cultures were positive in 41.66% of the patients. Followed by others parameters which were less commonly involved like diarrhea (34.72%), hurried eathing (26.38%), fever (20.83%) and edema (5.55%) indicating that sepsis in patients with severe acute malnutrition may have diverse presentations and associations and may not necessarily be associated with classical signs of infection.