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• W2742966962 abstract "ABSTRACT Introduction. Although malaria is the most common cause of anemia in children in our context, it is still common practice for health practitioners to prescribe iron to patients with anemia based only on red blood cell indices. The assessment of iron stores is not common practice. Objective. To report the prevalence of iron deficiency in acute anemia among children received at the Yaounde Gyneco-Obstetric and Pediatric Hospital in an infectious context. Methodology. This was a cross-sectional study over a period of 6 months, including 1451 Children with infection; aged 6 months to 15 years. Laboratory tests included, full blood count, septic screen depending on the clinical presentation, malaria test, direct stool examination, measurement of iron and ferritin levels in those presenting with biological anemia. The Chi² test was used for comparison and the association between qualitative variables; the threshold of significance was 0.05. Results. The sex ratio was 1.27. Children aged 6 to 60 months accounted for 72.9%. Malaria accounted for 68.8% of etiologies. Two-thirds (57.2%) of the patients had biological anemia of which 19.1% were severe. Hypochromic microcytic anemia was more frequent (41.2%) and mostly (83.6%) in children less than 5 years. Serum iron and ferritin levels were measured in 64 patients among whom only 14 of them had low serum iron levels and 2 with low serum ferritin levels. Conclusion. The prevalence of anemia in children received for infectious problems was high but almost all the children had normal or high iron. RESUME Introduction. Le paludisme est la premiere cause d'anemie chez l’enfant camerounais. La prescription de fer au cours d’anemies en contexte infectieux est basee sur les indices erythrocytaires. L'evaluation des reserves en fer n'est pas courante. Objectif. Determiner la prevalence de la carence en fer au cours des anemies aigues en contexte infectieux chez l’enfant recu a HGOPY. Methodologie. Il s'agissait d'une etude prospective transversale analytique portant sur 1451 enfants âges de 6 mois a 15 ans. Apres examen clinique nous avons realise une Numeration Formule Sanguine, un bilan infectieux selon l’orientation, un depistage du paludisme, et l’examen direct des selles. Le fer serique et la ferritinemie ont ete mesures chez les patients presentant une anemie biologique. Le test Chi² a ete utilise pour la comparaison et l'association entre les variables qualitatives. Le seuil de significativite etait de 0,05. Resultats. Le sex-ratio etait de 1,27 et 1058 (72,9%) enfants compris entre 6 et 60 mois. Deux tiers (57,2%) des enfants avaient une anemie biologique et 11% etaient severes. Les anemies microcytaires hypochromes etaient plus frequentes (41,2%), a majorite chez les moins de 2 ans (76,2%). Le paludisme representait 2/3 (68,8%) des etiologies. Les taux seriques de fer et de ferritine mesures chez 64 patients revelaient une hyposideremie chez 14 (21,9%) et seulement 2 (3,1%) avaient une hypoferritinemie. Conclusion. L’anemie est frequente chez les enfants en contexte infectieux. Cependant, leurs reserves de fer sont pour la majorite normales ou elevees. La supplementation systematique dans ces cas n'est pas justifiee." @default.
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• W2742966962 date "2017-07-26" @default.
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• W2742966962 title "Anemia in Children Following an Acute Infectious Illness: Is Systematic Iron Prescription Justified?" @default.
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