E-ISSN 2231-170X | ISSN 2231-1696
 
2022, Vol: 12, Issue: 2
12 / 2Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles

Original Article 


Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India

Hanshika Srivastava, Manisha Maurya, Shahid Akhtar Siddiqui, Nandita Mishra, Anubha Shrivastava.

Abstract
Persistent diarrhea (PD) accounts for a third of all deaths due to diar-rhea in under 5 children. Its etiology and treatment are poorly under-stood. So, we aimed to study various host and environmental risk fac-tors, clinical profile and treatment outcome of PD in children below 5 years of age. 60 children having PD who came to our institute were studied. History taking, clinical examination and investigations were done. Relevant data was collected in form of socio-demographic pro-file, infant and young child feeding (IYCF) indices, anthropometry, in-fections, micronutrient deficiency and secondary lactose intolerance (SLI). The treatment protocol consisted of stepwise diet plan along with supportive measures. All patients were started with diet plan A (low lactose diet), which was prepared by cheap and locally available items. Those who did not respond, were shifted to diet plan B (lactose free diet) and then to diet plan C (monosaccharide-based diet). Successful outcome was defined as decrease in stool frequency along with ade-quate food intake and weight gain. The risk factors associated with PD were found to be age < 2 years, malnutrition, SLI, micronutrient defi-ciency and previous history of infections. Out of total children (n=60), severe acute malnutrition, prior history of diarrhea/pneumonia in past 2 months and anemia were found in 58.3%, 60% and 52% of the PD children respectively. Concomitant enteric and systemic infections were found in 30% and 28.3% of PD children. SLI was observed in 61% of cases and most of the children (75%) improved on diet A only. Proper rehydration, screening and treatment of infections and enteral nutrition-al rehabilitation (both macro and micronutrient) are critical in manage-ment of children with PD.

Key words: Child, Diarrhea diet, Infection, Lactose, Malnutrition


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Hanshika Srivastava
Articles by Manisha Maurya
Articles by Shahid Akhtar Siddiqui
Articles by Nandita Mishra
Articles by Anubha Shrivastava
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Srivastava H, Maurya M, Siddiqui SA, Mishra N, Shrivastava A. Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. J Med Allied Sci. 2022; 12(1): 8-13. doi:10.5455/jmas.88304

Web Style

Srivastava H, Maurya M, Siddiqui SA, Mishra N, Shrivastava A. Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. https://jmas.in/?mno=88304 [Access: December 04, 2023]. doi:10.5455/jmas.88304

AMA (American Medical Association) Style

Srivastava H, Maurya M, Siddiqui SA, Mishra N, Shrivastava A. Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. J Med Allied Sci. 2022; 12(1): 8-13. doi:10.5455/jmas.88304


Vancouver/ICMJE Style

Srivastava H, Maurya M, Siddiqui SA, Mishra N, Shrivastava A. Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. J Med Allied Sci. (2022), [cited December 04, 2023]; 12(1): 8-13. doi:10.5455/jmas.88304


Harvard Style

Srivastava, H., Maurya, . M., Siddiqui, . S. A., Mishra, . N. & Shrivastava, . A. (2022) Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. J Med Allied Sci, 12 (1), 8-13. doi:10.5455/jmas.88304


Turabian Style

Srivastava, Hanshika, Manisha Maurya, Shahid Akhtar Siddiqui, Nandita Mishra, and Anubha Shrivastava. 2022. Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. Journal of Medical and Allied Sciences, 12 (1), 8-13. doi:10.5455/jmas.88304


Chicago Style

Srivastava, Hanshika, Manisha Maurya, Shahid Akhtar Siddiqui, Nandita Mishra, and Anubha Shrivastava. "Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India." Journal of Medical and Allied Sciences 12 (2022), 8-13. doi:10.5455/jmas.88304


MLA (The Modern Language Association) Style

Srivastava, Hanshika, Manisha Maurya, Shahid Akhtar Siddiqui, Nandita Mishra, and Anubha Shrivastava. "Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India." Journal of Medical and Allied Sciences 12.1 (2022), 8-13. Print. doi:10.5455/jmas.88304


APA (American Psychological Association) Style

Srivastava, H., Maurya, . M., Siddiqui, . S. A., Mishra, . N. & Shrivastava, . A. (2022) Clinico-laboratory profile and treatment outcome of persistent diarrhea in under 5-year children of a tertiary care hospital in North India. Journal of Medical and Allied Sciences, 12 (1), 8-13. doi:10.5455/jmas.88304


Author LoginReviewer LoginAbout PublisherEditorial Review PolicyEditorial & Peer Review ProcessConflict of Interest PolicyAdvertising PolicyLicense InformationCopyright Information

About Journal of Medical and Allied Sciences

Welcome to the Journal of Medical and Allied Sciences (JMAS), an official international publication of Deccan College of Medical Sciences, for rapid publi ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


By regular mail/speed post/courier

Dr. Kazi Mudabbir Ahmed
Editor, JMAS,
Deccan College of Medical Sciences,
DMRL ‘X’ Road, Kanchanbagh (PO),
Hyderabad-500 058, Telangana, India.

By email: editorialoffice@jmas.in

By phone: +91 40 24340225, 24340129

By Mobile: +91-8522828349

By fax: +91 40 24340235