BACKGROUND: Standard recommendations are that children with oedematous malnutrition receive inpatient therapy with a graduated feeding regimen. AIM: To investigate exclusive home-based therapy for children with oedematous malnutrition. METHODS: Children with oedematous malnutrition, good appetite and no complications were treated at home with ready-to-use therapeutic food (RUTF) and followed up fortnightly for up to 8 wk. SETTING AND PARTICIPANTS: 219 children aged 1-5 y with oedema enrolled in one of two therapeutic nutritional studies in Malawi in 2003-2004. RESULTS: The overall recovery rate was 83% (182/219), and the case-fatality rate was 5% (11/219). For children with wasting and oedematous malnutrition, 65% (55/85) recovered and 7% (6/85) died. The average weight gain was 2.8+/-3.2 g/kg/d (mean+/-SD). CONCLUSION: This preliminary observation suggests that children with oedematous malnutrition and good appetite may be successfully treated with home-based therapy; a randomized, controlled trial to evaluate this is warranted.
BACKGROUND: Standard recommendations are that children with oedematous malnutrition receive inpatient therapy with a graduated feeding regimen. AIM: To investigate exclusive home-based therapy for children with oedematous malnutrition. METHODS:Children with oedematous malnutrition, good appetite and no complications were treated at home with ready-to-use therapeutic food (RUTF) and followed up fortnightly for up to 8 wk. SETTING AND PARTICIPANTS: 219 children aged 1-5 y with oedema enrolled in one of two therapeutic nutritional studies in Malawi in 2003-2004. RESULTS: The overall recovery rate was 83% (182/219), and the case-fatality rate was 5% (11/219). For children with wasting and oedematous malnutrition, 65% (55/85) recovered and 7% (6/85) died. The average weight gain was 2.8+/-3.2 g/kg/d (mean+/-SD). CONCLUSION: This preliminary observation suggests that children with oedematous malnutrition and good appetite may be successfully treated with home-based therapy; a randomized, controlled trial to evaluate this is warranted.
Authors: Abel H Irena; Paluku Bahwere; Victor O Owino; ElHadji I Diop; Max O Bachmann; Clara Mbwili-Muleya; Filippo Dibari; Kate Sadler; Steve Collins Journal: Matern Child Nutr Date: 2015-12 Impact factor: 3.092
Authors: Scott Bradley Ickes; Stephanie B Jilcott; Jennifer A Myhre; Linda S Adair; Harsha Thirumurthy; Sudhanshu Handa; Margaret E Bentley; Alice S Ammerman Journal: Matern Child Nutr Date: 2010-07-19 Impact factor: 3.092
Authors: John Phuka; Chrissie Thakwalakwa; Kenneth Maleta; Yin Bun Cheung; André Briend; Mark Manary; Per Ashorn Journal: Matern Child Nutr Date: 2009-04 Impact factor: 3.092
Authors: John C Phuka; Kenneth Maleta; Chrissie Thakwalakwa; Yin Bun Cheung; André Briend; Mark J Manary; Per Ashorn Journal: Arch Pediatr Adolesc Med Date: 2008-07