| Critical appraisal of the management of severe malnutrition: 2. Dietary management. | |
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MedLine Citation:
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PMID: 16972962 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In the dietary management of severe acute malnutrition in children, there is evidence to support the WHO Manual's protocol of cautious feeding of a low energy and protein formula with small frequent feeds in the initial phase of treatment, particularly in kwashiorkor. However, this initial milk diet (WHO F-75) might benefit from increasing the sulphur amino acid, phosphorus and potassium content and reducing the lactose content, but further studies are needed. Careful tube-feeding results in faster initial recovery and weight gain, but has a significant risk of aspiration in poorly supervised settings. Ready-to-use therapeutic food is an important recent advance in the dietary management of malnutrition in ambulatory settings, allowing more effective prevention programmes and earlier discharge from hospital where community follow-up is available. It should be included in future protocols. There is very good evidence on the use of micronutrients such as zinc, and preliminary evidence suggests that smaller doses of daily vitamin A are preferable to a single large dose on admission for severe malnutrition. |
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Authors:
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David R Brewster |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of paediatrics and child health Volume: 42 ISSN: 1034-4810 ISO Abbreviation: J Paediatr Child Health Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-09-15 Completed Date: 2007-04-06 Revised Date: 2007-09-24 |
Medline Journal Info:
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Nlm Unique ID: 9005421 Medline TA: J Paediatr Child Health Country: Australia |
Other Details:
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Languages: eng Pagination: 575-82 Citation Subset: IM |
Affiliation:
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Fiji School of Medicine, Suva, Fiji. d.brewster@fsm.ac.fj |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child Food, Fortified Humans Malnutrition / diet therapy* Micronutrients / therapeutic use Severity of Illness Index |
| Chemical | |
Reg. No./Substance:
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0/Micronutrients |
| Comments/Corrections | |
Comment In:
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J Paediatr Child Health. 2007 Apr;43(4):320
[PMID:
17444841
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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