A Study of Severe Anemia in Children in a Tertiary Care Institute


Affiliations

  • Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Department of Paediatrics, Nashik, 422003, India
  • Dr. Panjabrao Deshmukh Memorial Medical College, Department of Paediatrics, Amravati, 444603, India

Abstract

Introduction: The present study was to emphasize the chief causative factors, clinical manifestations, various hematological and morphological types in children with severe anemia, admitted to the pediatric wards of a tertiary care hospital. Objectives: The primary objective was to study clinical profile of severe anemia in children with various risk factor and hematological parameters among children with severe anemia. Methods: This was an observational study conducted in a tertiary health care institute. Children with severe anemia satisfying eligibility criteria with Hb less than or equal to 7gm/dl in age group 6 Month to 59 months. Less than or equal to 8gm/dl in age group 5 years to 14 years were included. Associated complaints and Clinical features were studied. Complete blood cell count with RBC indices- MCV, MCH and MCHC peripheral smear examination, reticulocyte count, stool examination, urine examination and Mantoux test were done in all patients. Serum ferritin, Hb electrophoresis, bone marrow examination, liver function test and renal function test, and x ray, U.S.G. abdomen, CT scan in relevant cases were done. Result: In this series 59 patients were included. Incidence of severe anemia was more in < 3.5 years age group (50.85%). Male to female ratio was 1.45:1. Out of 59 cases studied, 47(79.66%) had varying degrees of malnutrition. Pallor is the most prominent and characteristic sign noted in 59 cases (100%). Nutritional anemia was most common in 32 cases (55.93%) out of which 28 were microcytic and 4 were dimorphic. Associated infections were noted in 35 cases (59.32%). Conclusion: Nutritional deficiency is the most common cause of severe anemia especially iron deficiency anemia. Most of the children were malnourished and had infection indicating that severe anemia is directly related to malnutrition and infection. Pallor is the most consistent clinical sign of severe anemia. Severe anemia is more common in children aged < 3.5 years.

Keywords

Nutritional Deficiency Anemia, Pallor, Severe Anemia

Subject Discipline

Paediatrics

Full Text:

References

Kliegman, Stanton, St Geme, Schor. Nelson text book of Pediatrics. 1st South East Asia ed; Saunders Elsevier; 2015. p. 2309.

Parthasarathy A, Nair MKC, Menon PSN, Gupta P., et al. IAP text book of Peadiatrics. 5th ed. Jaypee Brothers Medical Publishers (P) Ltd; 2013. p. 644–7. https://doi.org/10.5005/jp/books/11894

Orkin S, Nathan D, Ginberg D, Look AT., et al. Nathan & Oski’s Hematology of infancy and childhood. 7th ed. Saunders Elsevier; 2009. p. 458–9.

Saroja CN., et al. Cross sectional study of nutritional anaemia in Indian Paediatric population. Sch J App Med Sci. 2015 Aug; 3(5E):2106–110.

Agarwal KN, Kapoor D, Kela K, Kaur I, Sharma S. Iron status of children aged 9-36 months in an urban slum Integrated child development services project in Delhi. Indian pediatrics. 2002; 39(2):136–44. PMid:11867843

Madoori S., et al. Clinico hematological profile and outcome of anemia in children at tertiary care hospital, Karimnagar, Telangana, India. Int J Res Med Sci. 2015; 3:3567–71. https://doi.org/10.18203/2320-6012.ijrms20151400


Refbacks

  • There are currently no refbacks.