Aplicación de la guía de la Organización Mundial de la Salud para el tratamiento de los niños con desnutrición grave ; Application of the world health organization guidelines for the treatment of severely undernourished children

Adaptation and application of the WHO protocol for the treatment of the severe undernourished children Materials and methods: This is a descriptive and prospective study. It was conducted during one year on 53 under- five severely undernourished children, i.e. weight / size below minus three standard deviations, or showing edemas. Some suffered it under the two criteria. The WHO criteria were applied. Results: 25 children (47.1%) suffered kwashiorkor, 24 (45,2%) wasting and 4 (7.5%) mixed undernourishment. The median age was 13.5 months (DE 11.8) The access associated morbility comprised acute and persistent diarrhea, pneumonia, dermopathies, sepsis, urinary infection and anemia. The median hospitalization was 21 days (DE 9,47). 35 children (66%) reached the target of minus one standard deviation in weight / size, 14 (26.7%) were discharged before reaching the targeted weight and 4 (7.3%) deceased. Discussion: in recent years severe malnutrition is back in Colombia and the treatment of these children is not rovided by the current social security system. The World Health Organization considers that undernourishment is associated with 60% of deaths in minors under five. In a first level hospital the application of the WHO protocol was successful. Other studies point satisfactory results with the application of the protocol. ; RESUMEN: Adaptar y aplicar el protocolo de la OMS para el tratamiento de los niños con desnutrición grave. Materiales y métodos: Es un estudio descriptivo y prospectivo. Se incluyeron 53 niños menores de cinco años, con desnutrición grave, atendidos durante un año: peso para la talla por debajo de menos tres desviaciones estándar, presencia de edemas o ambos criterios y se aplicó la guía de la OMS. Resultados: 25 niños (47.1%) tenían kwashiorkor, 24 (45.2%) marasmo y 4 (7.5%) desnutrición mixta. La edad promedio fue 13,25 meses (DE 11,8). Las morbilidades asociadas al ingreso fueron diarrea aguda y persistente, neumonía, dermatopatías, sepsis e infección urinaria y anemia. El ...