OUTCOME OF ANEMIA SCREENING AND IRON TREATMENT IN CHILDREN AGED 6-12 MONTH AT WELL CHILD CLINIC OF NAN HOSPITAL
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Abstract
Background: Anemia is an important public health challenge. Iron deficiency is the major cause of anemia in children. Especially in 6-12 month children, iron deficiency anemia potentially worsens their growth retardation and learning abilities. Proper prevention and treatment of this condition will help children with growth and healthy development.
Objective: To study the prevalence of anemia, iron deficiency anemia, results of iron supplement therapy and factors associated with anemia and iron deficiency anemia in Well Child Clinic of Nan Hospital.
Methods: This study was a retrospective analysis study of the outpatient medical record. The research sample was the children aged 6-12 month who visiting well child clinic of Nan Hospital during January to December 2018 with hematocrit (Hct) screening for anemia.
Results: The population of 187 children has been examined in regard to Hct and the mean Hct was 34.01+2.91%. Results show that 54 cases (28.9%) had anemia. Approximately 79.6% were mild anemia. Iron deficiency anemia was observed in 11.76% of the study population. Hct was likely responsible with iron supplement. Hct levels statistic significantly increased mean difference 2.2+3.0 % (95%CI 1.33-3.05; p-value <0.001). There were 40.7% of the anemia population who respond to iron supplement therapy. There were no statistic significant difference caregiver and breastfeeding status in anemia and iron deficiency anemia occurrence.
Conclusion and discussion: The prevalence of anemia in children aged 6 -12 month in Nan hospital was 28.6 percent. Iron supplement therapy in children with anemia could increase hematocrit significantly. Thus, the anemia screening program could be used as a primary screening to assess the anemia condition in the children for further appropriate treatment.
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References
Sills R. Iron-Deficiency Anemia. In: Kliegman RM, Stanton BF, St.Geme III JW, Schor NF, Behrman RE, editors. Nelson textbook of pediatrics. 20th ed. Philadelphia, PA Elsevier Saunders; 2016. p. 2323-6.
Bureau of Nutrition, Department of Health, Ministry of Public Health. Guidelines for control and prevention of iron deficiency anemia. Nonthaburi; 2015.
4th report − the world nutrition situation: nutrition throughout the life cycle [internet]. 2000:[144 p.]. Available from: https://www.unscn.org/web/archives_resources/files/rwns4.pdf.
World Health Organization. The world health report 2002: reducing risks, promoting healthy life. Geneva; 2002.
Wharton BA. Iron defi ciency.In:Lilleyman J, Hann I, Blanchette, editors. Pediatric hematology .2nd ed. London: Churchill Livingstone; 1999:127-44.
Sungthong R, Mo-suwan L, Chongsuvivatwong V. Effects of haemoglobin and serum ferritin on cognitive function in school children. Asia Pac J Clin Nutr. 2002;11(2):117-22.
Bruner AB, Joffe A, Duggan AK, Casella JF, Brandt J. Randomised study of cognitive effects of iron supplementation in non-anaemic iron-deficient adolescent girls. Lancet. 1996;348(9033):992-6.
Idjradinata P, Pollitt E. Reversal of developmental delays in iron-deficient anaemic infants treated with iron. Lancet. 1993;341(8836):1-4.
Siu AL. Screening for iron deficiency anemia in young children: USPSTF recommendation statement. Pediatrics. 2015;136(4):746-52.
Kunara Hanapruk S, Sridama V, Jandeeying V, Singalaranija S, ed. Screening for anemia and iron supplementation in Thai children. Guidelines of health supervision in Thai population. Bangkok: INS Print; 2000:65-6.
Kunara Hanapruk S, Sridama V, Jandeeying V, Singalaranija S, edtors. Screening for anemia and iron supplementation in Thai children. Guidelines of health supervision in Thai population. Bangkok: INS Print; 2000.
Torcharus K, Lumkul R. Guidelines for diagnosis and management of anemia [Internet]. n.d. [cited 2020 February 2]:[17 p.]. Available from: http://www.thaipediatrics.org/Media/media-20161208102855.pdf
Iron deficiency anemia: recommended guidelines for the prevention, detection, and management among US children and women of childbearing age. Woteki CE, Earl R, editors. Washington, D.C.: National Academy Press; 1993.
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva;2011.
Duangpetsang J. Anemia in children aged 6-12 month in well child clinic at Kaengkhro hospital. Chaiyaphum medical journal. 2017;37(2):31-9.
Mongkolporn V. Anemia: situation and results of treatment guideline, health promoting hospital, Nakhon Ratchasima. Regional Health Promotion Center 5 Journal. 2013;7(15):18-35.
Autthawee B., Phongphetdit B. Control and prevention of iron deficiency anemia in children aged 6-12 months. Nursing Journal of the Ministry of Public Health. 2020;30(1): 82-93.
Sukkayanudit N. Prevalence and risk factors for iron deficiency anemia among children aged 6-12 months in Thatoom hospital, Surin province. Ubon Medical Journal. 2018;1(1):10-20.
Worldwide prevalence of anaemia 1993-2005; WHO Global Database of anaemia. De Benoist B, Cogswell M, Egli I, McLean E, editors. Geneva: World Health Organization; 2008.
