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    G. Coulthard, Malcolm 2015. Oedema in kwashiorkor is caused by hypoalbuminaemia. Paediatrics and International Child Health, Vol. 35, Issue. 2, p. 83.


    Girma, Tsinuel Kæstel, Pernille Mølgaard, Christian Michaelsen, Kim F Hother, Anne-Louise and Friis, Henrik 2013. Predictors of oedema among children hospitalized with severe acute malnutrition in Jimma University Hospital, Ethiopia: a cross sectional study. BMC Pediatrics, Vol. 13, Issue. 1,


    Ralston, Mark E Day, Louise T Slusher, Tina M Musa, Ndidiamaka L and Doss, Helen S 2013. Global paediatric advanced life support: improving child survival in limited-resource settings. The Lancet, Vol. 381, Issue. 9862, p. 256.


    Mwangome, Martha K Fegan, Gregory Prentice, Andrew M and Berkley, James A 2011. Are diagnostic criteria for acute malnutrition affected by hydration status in hospitalized children? A repeated measures study. Nutrition Journal, Vol. 10, Issue. 1,


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Symposium 5: Joint BAPEN and Nutrition Society Symposium on ‘Feeding size 0: the science of starvation’ Severe malnutrition: therapeutic challenges and treatment of hypovolaemic shock: Conference on ‘Malnutrition matters’

  • Kathryn Maitland (a1)
  • DOI: http://dx.doi.org/10.1017/S0029665109001359
  • Published online: 01 June 2009
Abstract

The systematic failure to recognise and appropriately treat children with severe malnutrition has been attributed to the elevated case-fatality rates, often as high as 50%, that still prevail in many hospitals in Africa. Children admitted to Kilifi District Hospital, on the coast of Kenya, with severe malnutrition frequently have life-threatening features and complications, many of which are not adequately identified or treated by WHO guidelines. Four main areas have been identified for research: early identification and better supportive care of sepsis; evidence-based fluid management strategies; improved antimicrobial treatment; rational use of nutritional strategies. The present paper focuses on the identification of children with sepsis and on fluid management strategies.

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Corresponding author
Corresponding author: Dr Kathryn Maitland, fax +254 415 22390, email kmaitland@kilifi.kemri-wellcome.org
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3.GT Heikens (2007) How can we improve the care of severely malnourished children in Africa? PLoS Med 4, e45.

4.GT Heikens , J Bunn , B Amadi (2008) Case management of HIV-infected severely malnourished children: challenges in the area of highest prevalence. Lancet 371, 13051307.

5.E Cartmell , H Natalal , I Francois (2005) Nutritional and clinical status of children admitted to the malnutrition ward, Maputo central hospital: a comparison of data from 2001 and 1983. J Trop Pediatr 51, 102105.

6.A Ashworth , M Chopra , D McCoy (2004) WHO guidelines for management of severe malnutrition in rural South African hospitals: effect on case fatality and the influence of operational factors. Lancet 363, 11101115.

10.MJ Manary & DR Brewster (2000) Intensive nursing care of kwashiorkor in Malawi. Acta Paediatr 89, 203207.

11.N Karaolis , D Jackson , A Ashworth (2007) WHO guidelines for severe malnutrition: are they feasible in rural African hospitals? Arch Dis Child 92, 198204.

13.T Ahmed , M Ali , MM Ullah (1999) Mortality in severely malnourished children with diarrhoea and use of a standardised management protocol. Lancet 353, 19191922.

14.S Collins & K Sadler (2002) Outpatient care for severely malnourished children in emergency relief programmes: a retrospective cohort study. Lancet 360, 18241830.

16.DR Brewster (2006) Critical appraisal of the management of severe malnutrition: 3. Complications. J Paediatr Child Health 42, 583593.

17.K Maitland , JA Berkley , M Shebbe (2006) Children with severe malnutrition: can those at highest risk of death be identified with the WHO protocol? PLoS Med 3, e500.

18.S Collins & M Myatt (2000) Short-term prognosis in severe adult and adolescent malnutrition during famine: use of a simple prognostic model based on counting clinical signs. JAMA 284, 621626.

19.S Collins & R Yates (2003) The need to update the classification of acute malnutrition. Lancet 362, 249.

22.DR Brewster , MJ Manary , IS Menzies (1997) Comparison of milk and maize based diets in kwashiorkor. Arch Dis Child 76, 242248.

23.NH Alam , JD Hamadani , N Dewan (2003) Efficacy and safety of a modified oral rehydration solution (ReSoMaL) in the treatment of severely malnourished children with watery diarrhea. J Pediatr 143, 614619.

25.S Hahn , S Kim & P Garner (2002) Reduced osmolarity oral rehydration solution for treating dehydration caused by acute diarrhoea in children. Cochrane Database of Systematic Reviews, issue 1, CD002847. Chichester, West Sussex: John Wiley and Sons Ltd.

26.M English , M Ahmed , C Ngando (2002) Blood transfusion for severe anaemia in children in a Kenyan hospital. Lancet 359, 494495.

27.KA Bojang , MB Van Hensbroek , A Palmer (1997) Predictors of mortality in Gambian children with severe malaria anaemia. Ann Trop Paediatr 17, 355359.

28.YY Han , JA Carcillo , MA Dragotta (2003) Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome. Pediatrics 112, 793799.

29.JA Carcillo , AL Davis & A Zaritsky (1991) Role of early fluid resuscitation in pediatric septic shock. JAMA 266, 12421245.

30.MW Merx & C Weber (2007) Sepsis and the heart. Circulation 116, 793802.

31.B Goldstein , B Giroir & A Randolph (2005) International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med 6, 28.

35.C Phornphatkul , Y Pongprot , R Suskind (1994) Cardiac function in malnourished children. Clin Pediatr (Phila) 33, 147154.

36.SS Kothari , TM Patel , AN Shetalwad (1992) Left ventricular mass and function in children with severe protein energy malnutrition. Int J Cardiol 35, 1925.

38.MM Parker , JA Hazelzet & JA Carcillo (2004) Pediatric considerations. Crit Care Med 32, Suppl., S591S594.

40.Z Stanga , A Brunner , M Leuenberger (2008) Nutrition in clinical practice – the refeeding syndrome: illustrative cases and guidelines for prevention and treatment. Eur J Clin Nutr 62, 687694.

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