malnutrition among hiv- infected children by anthropometric measures in poor outreach area of a developing country and its relationship with cd4 counts

نویسندگان

ritu rakholia assosciate professor, department of pediatrics, gmc haldwani, india.

mehar bano assisstant professor, department of community medicine, gmc haldwani, india.

vineeta rawat assosciate professor, department of microbiology, gmc haldwani, india.

چکیده

background: diagnosis and management of malnutrition in hiv- infected children is important as it is both a manifestation as well as an independent risk factor for death. extent in hilly poor outreach areas of north india has been poorly studied.  aim: to study the prevalence of malnutrition among children with hiv/aids using who z- score and indian academy of pediatrics (iap) method and effect of malnutrition on immune status. material and methods: setting-antiretroviral (art) centre of a teaching medical college in uttarakhand-india. anthropometric measurements (weight, height) and cd4 counts were taken on registration and follow up and duly recorded. data analysis was done using spss -18 and who z- score value was calculated using who antroplus software. result: a total of 107 children ( 67 male and 40 female) were studied with mean age of 7.15years.valid z- score could be calculated only for 46 children  and it showed stunting in 69.8%(30/43), wasting in 22.4%(10/46), underweight in 58.9%(27/46). using iap method 75% (81/107) had pem, 85.5% (93/107) stunting. there was no difference between male and female (p>0.05) and no relation between cd4 count and nutritional status (p>0.05). single dose nevirapine used earlier for prevention of parent to child transmission (pptct) used in 10 newborns resulted in 3/10 hiv negative, 3/10 positive, 4/10 deaths at 18 months. conclusion: malnutrition is rampant in children with hiv/aids in hilly poor outreach areas of india. chronic malnutrition or stunting was the most common abnormality seen in three fourth of all the children. hence sensitizing health care workers for timely recognition and prompt remedial measures (art, nutritional interventions) are need of the hour to reduce mortality and prevent growth failure. it also provides baseline data of efficacy of single dose nevirapine to compare efficacy of newer regimes in prevention of pptct.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Malnutrition among HIV- infected Children by Anthropometric Measures in Poor Outreach Area of a Developing Country and its Relationship with CD4 Counts

Background: Diagnosis and management of malnutrition in HIV- infected children is important as it is both a manifestation as well as an independent risk factor for death. Extent in hilly poor outreach areas of North India has been poorly studied.  Aim: to study the prevalence of malnutrition among children with HIV/AIDS using WHO z- score and Indian Academy of Pediatrics (IAP) method and effect...

متن کامل

validation of a revised logical-mathematical intelligence scale and exploring its relationship with english language proficiency

نظریه هوش چندگانه قسمتهای متفاوت هوش بشری را مورد بررسی قرار می دهد که با شناخت آن شخص به درک بهتری از توانایی های خود میرسد و در نتیجه سعی در استفاده از آن جهت یادگیری بهتر میکند. همچنین با شناخت استعداد دانش آموزان، فرایند یادگیری بهتر میشود. هدف از انجام دادن این تحقیق بررسی رابطه بین هوش ریاضی و استعداد یادگیری زبان انگلیسی میباشد. برای انجام این تحقیق از پرسشنامه هوش ریاضی که توسط شیرر در ...

Spectrum of Opportunistic Fungal Infections in HIV-Infected Patients and Their Correlation with CD4+ Counts in Western India

  Introduction : The decreased level of immunity in Human Immunodeficiency Virus (HIV) infected patients increases their vulnerability to various opportunistic fungal infections. Oral candidiasis has been found to be the most common fungal infection among HIV infected patients. The present study was conducted to evaluate the spectrum of various opportunistic fungal infections and their correlat...

متن کامل

The Relationship between Malnutrition and Intestinal Parasitic Infections among Preschool Children in East Area of Iran

Background Malnutrition and infections are widespread in almost all developing countries. The aim of this study was to investigating prevalence and some of the determinants of malnutrition and intestinal parasitic infections among preschool children in Shahroud, Iran. Materials and Methods At across-sectional study, the all preschool children (1,850 cases), in Shahroud city as simple census, we...

متن کامل

a study of relationship between knowledge sharing and organizational agility among personnel in esfahan power electric distribution company

پژوهش حاضر به بررسی رابطه بین تسهیم دانش و چابکی سازمانی در شرکت توزیع برق استان اصفهان پرداخته است . ابزار سنجش در این پژوهش پرسشنامه می باشد . به منظور سنجش متغیر تسهیم دانش از پرسشنامه وانگ و وانگ و جهت سنجش چابکی سازمانی از پرسشنامه چاربونیر استفاده شده است . هدف پژوهش حاضر تحلیل رابطه میان تسهیم دانش و چابکی سازمانی از دید کارکنان شرکت توزیع برق استان اصفهان می باشد . جامعه آماری این پژوه...

15 صفحه اول

evolutionary origin and phylogenetic relationships among fusarium oxysporum f. sp. melonis isolates in iran and their relationship with nonpathogenic isolates

پژمردگی فوزاریومی خربزه و طالبی با عامل fusarium oxysporum f. sp. melonis از بیماری های مهم قارچی در مناطق رشد این گیاهان می باشد. جدایه های f. oxysporum از گیاهان و خاک ریزوسفر متعلق به پنج استان مهم تولیدکننده ی خربزه و طالبی جداسازی شد و بر پایه ی بیماری زایی در ارقام افتراقی، گروه های سازگاری رویشی (vegetative compatibility groups)، توالی سنجی ناحیه ی جداکننده ی بین ژنی دی اِن اِی ریبوزومی (n...

15 صفحه اول

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
international journal of pediatrics

جلد ۴، شماره ۴، صفحات ۱۶۴۳-۱۶۵۴

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023