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conferenceseries
.com
Volume 7, Issue 5 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN:2161-069X
Gastroenterology 2017
November 13-14, 2017
November 13-14, 2017 | Las Vegas, USA
13
th
International Conference on
Clinical Gastroenterology, Hepatology and Endoscopy
Prevalence of refeeding syndrome among children with severe acute malnutrition
Lilian Kerubo
University of Nairobi, Kenya
Statement of the Problem:
Refeeding syndrome is a complication of the initial feeding of a malnourished patient and is caused by
electrolyte shift. It occurs mostly in the first 48-72 hours and this is also the time when most deaths in malnutrition occurs. There
appears to be a paucity of data on the prevalence of refeeding syndrome, notably in Africa. This study helped bridge that gap and
identified some of the associated factors of refeeding syndrome and the outcomes of patients diagnosed with it.
Methodology and Theoretical Orientation:
In a non-experimental cross-sectional research model 160 children were consecutively
recruited from Kenyatta National hospital. Baseline electrolytes were measured at admission and repeated after 48 hours of feeding
with the standard therapeutic feeds. Comparisons were made and once criteria for refeeding syndrome were met, data was analyzed
for possible associations. Researchers identify several associations but we narrowed down on 5 which were oedema, HIV infection,
dehydration, other feeds not prescribed and initiation of feeding with calorically dense feeds.
Findings:
Prevalence rate of 21% was found. Statistically significant associated factor was HIV infection (P=0.027). Outcomes with
treatment included recovery (67%), persistence (11%), undetermined (20%) and death (3%)Conclusions and Significance: Refeeding
syndrome remains a real threat to the care of malnourished patients. Careful electrolyte and clinical monitoring before, during and
after feeding is recommended. We may need to reconsider the feeding of the HIV positive malnourished child
Biography
Lilian Kerubo is a paediatric resident at University of Nairobi in Kenya. She has a passion of finding simple, natural remedies to most common paediatric ailments.
lilkebz@gmail.comLilian Kerubo, J Gastrointest Dig Syst 2017, 7:5 (Suppl)
DOI: 10.4172/2161-069X-C1-055