نتائج تطبيق خطة منظمة الصحة العالمية في تدبير سوء التغذية الحاد الشديد في مركز علاج سوء التغذية الحاد الشديد المختلط في مدينة حماه في سورية

Abstract EN

Objective : The Ministry of Health in collaboration with World Health Organization and Al-Assad Hospital in Hama supported the establishment of a stabilization center for the management of complicated acute severe malnutrition in Hama (Syria) in 2014.

This center started to receive cases and manage them.

This is a prospective study to analyze the results of the application of WHO protocol in the management of acute severe malnutrition.

Methods: A prospective study from 1 April 2014 till 1 April 2015 included all severe acute complicated malnutrition cases in children in the stabilization centers in Al-Assad Hospital in Hama.

Results: Total number of cases was 98, male / female 49 / 49, the minimal age was 45 days, the maximal age was 48 months, the mean age was 9.9 months, 87.75 % were under 18 months.

Primary complicated acute severe malnutrition was present in 60 patients (61.22 %), secondary in 38 (38.77 %), edematous form was noted in 10 patients (10.1 %), and non-edematous in 88 patients (89.79 %).

The mean hospitalization duration was 16.5 days, the mean of the weight gain was 17.75 g / kg / day.

The cure rate was 68.36%, the amelioration in 18.36 %, death in 10.2 %, and the discharge against medical advice was noted in 14% and the referral to another hospital to complete treatment in 5 %.

Conclusions: The application of WHO guidelines plays an important role in the management of complicated acute severe malnutrition, compatible with the international guidelines.