Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic

<p>Background</p><p><a title="Learn more about Iron deficiency" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iron-deficiency">Iron deficiency</a> and <a title="Learn more about Iron-deficiency anemia" href="http...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Steven G McKee, Ryan Close, Elizabeth Lowenthal
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	Caribbean iron supplementation pediatric quality improvement resource limited setting Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bb7a2336a3474b38864e29da509f8bdd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bb7a2336a3474b38864e29da509f8bdd
record_format	dspace
spelling	oai:doaj.org-article:bb7a2336a3474b38864e29da509f8bdd2021-12-02T03:05:50ZEvaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic2214-999610.1016/j.aogh.2017.07.004https://doaj.org/article/bb7a2336a3474b38864e29da509f8bdd2017-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/170https://doaj.org/toc/2214-9996<p>Background</p><p><a title="Learn more about Iron deficiency" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iron-deficiency">Iron deficiency</a> and <a title="Learn more about Iron-deficiency anemia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iron-deficiency-anemia">iron deficiency anemia</a> affect billions of people worldwide. Infants and young children are the most vulnerable. The Niños Primeros en Salud <a title="Learn more about Pediatrics" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/pediatrics">pediatric</a> clinic aims to follow the American Academy of Pediatrics (AAP) recommendation to screen all children at 12 months of age, a vital period for development and the time of greatest risk.</p><p>Objectives</p><p>To evaluate the clinic's performance screening for, diagnosing, and treating iron deficiency <a title="Learn more about Anemia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/anemia">anemia</a>; and to describe the prevalence and severity of anemia in infants and children attending a perirural clinic in the Dominican Republic.</p><p>Methods</p><p>A total of 293 charts were reviewed for <a title="Learn more about Hemoglobin" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hemoglobin">hemoglobin</a> tests performed between 9 and 15 months of age. If a hemoglobin screening was performed, then sociodemographic characteristics, medical history, and laboratory data were collected. If blood tests revealed anemia, then the presence or absence of documented anemia diagnosis as well as the presence or absence of documented provision of iron therapy were recorded.</p><p>Findings</p><p>Less than one-third (87, 29.7%) of patients had a documented hemoglobin test performed in this age range. Of these, 89.6% indicated anemia and nearly half (48.6%) revealed moderate anemia. One-third (34%) of hemoglobin results revealing anemia were not accompanied by a documented diagnosis. The vast majority (86.5%) of results indicated <a title="Learn more about Microcytosis" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/microcytosis">microcytosis</a>, yet just more than half (50.8%) of anemic patients received iron therapy.</p><p>Conclusions</p>Many children at the clinic were not screened for iron deficiency anemia during the period of highest risk. In the participants screened, iron deficiency anemia was underdiagnosed and often untreated. Anemia is a significant burden in this community—one demanding reliable screening and universal supplementation.Steven G McKeeRyan CloseElizabeth LowenthalUbiquity PressarticleCaribbeaniron supplementationpediatricquality improvementresource limited settingInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 550-556 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Caribbean iron supplementation pediatric quality improvement resource limited setting Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Caribbean iron supplementation pediatric quality improvement resource limited setting Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Steven G McKee Ryan Close Elizabeth Lowenthal Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic
description	<p>Background</p><p><a title="Learn more about Iron deficiency" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iron-deficiency">Iron deficiency</a> and <a title="Learn more about Iron-deficiency anemia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iron-deficiency-anemia">iron deficiency anemia</a> affect billions of people worldwide. Infants and young children are the most vulnerable. The Niños Primeros en Salud <a title="Learn more about Pediatrics" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/pediatrics">pediatric</a> clinic aims to follow the American Academy of Pediatrics (AAP) recommendation to screen all children at 12 months of age, a vital period for development and the time of greatest risk.</p><p>Objectives</p><p>To evaluate the clinic's performance screening for, diagnosing, and treating iron deficiency <a title="Learn more about Anemia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/anemia">anemia</a>; and to describe the prevalence and severity of anemia in infants and children attending a perirural clinic in the Dominican Republic.</p><p>Methods</p><p>A total of 293 charts were reviewed for <a title="Learn more about Hemoglobin" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hemoglobin">hemoglobin</a> tests performed between 9 and 15 months of age. If a hemoglobin screening was performed, then sociodemographic characteristics, medical history, and laboratory data were collected. If blood tests revealed anemia, then the presence or absence of documented anemia diagnosis as well as the presence or absence of documented provision of iron therapy were recorded.</p><p>Findings</p><p>Less than one-third (87, 29.7%) of patients had a documented hemoglobin test performed in this age range. Of these, 89.6% indicated anemia and nearly half (48.6%) revealed moderate anemia. One-third (34%) of hemoglobin results revealing anemia were not accompanied by a documented diagnosis. The vast majority (86.5%) of results indicated <a title="Learn more about Microcytosis" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/microcytosis">microcytosis</a>, yet just more than half (50.8%) of anemic patients received iron therapy.</p><p>Conclusions</p>Many children at the clinic were not screened for iron deficiency anemia during the period of highest risk. In the participants screened, iron deficiency anemia was underdiagnosed and often untreated. Anemia is a significant burden in this community—one demanding reliable screening and universal supplementation.
format	article
author	Steven G McKee Ryan Close Elizabeth Lowenthal
author_facet	Steven G McKee Ryan Close Elizabeth Lowenthal
author_sort	Steven G McKee
title	Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic
title_short	Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic
title_full	Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic
title_fullStr	Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic
title_full_unstemmed	Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic
title_sort	evaluation of iron deficiency anemia in a pediatric clinic in the dominican republic
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/bb7a2336a3474b38864e29da509f8bdd
work_keys_str_mv	AT stevengmckee evaluationofirondeficiencyanemiainapediatricclinicinthedominicanrepublic AT ryanclose evaluationofirondeficiencyanemiainapediatricclinicinthedominicanrepublic AT elizabethlowenthal evaluationofirondeficiencyanemiainapediatricclinicinthedominicanrepublic
_version_	1718401941921333248

Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic

Ejemplares similares