dc.contributor.author | Nakimwero, Florence | |
dc.date.accessioned | 2013-05-24T10:01:00Z | |
dc.date.available | 2013-05-24T10:01:00Z | |
dc.date.issued | 1981 | |
dc.identifier.citation | Master of medicine (paediatrics and child health),University of Nairobi,1981. | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25362 | |
dc.description.abstract | In this prospective study, the pattern of anaemia
seen in children admitted to the paediatric observation
ward (POW) of Kenyatta National Hospital was investigated,
between November,1979 and March, 1980. There were 294
(7.3%) documented cases of anaemia out of a total of 4,044
admissions to the POW. Of these 75% had come to the
hospital primarily with some other disease problem, and
clinical presentation varied according to the underlying
condition. Luos and Luyias formed 75.5% of all the patients;
half of these resided in Nairobi and the rest came from
their indigenous areas in Western Kenya. Basically all
children belonged to the low social-income group.
Children under 3 years of age were the most affected
and formed 62.4% of the series. The main causes of
anaemia ia the series were haemolysis from malaria and/or
sickle cell anaemia (30.2%) and iron deficiency of
nutri tior..alorigin (26.2%). Both haemolysis and iron
deficiency accounted for 12.2% of the cases. Hookworm
infestation played a significant role in aggravating
iron deficiency, especially in older children. Megaloblastic
anaemia was seen infrequently and was also
nutritional in origin. Other causes of anaemia included
bone marrow failure from various causes, and bleeding
tendencies, mainly from primary bleeding diatheses.
Many cases were undiagnosed because of problems
involving every sector of attending staff. Management
of the patients with severe anaemia was essentially the
same, i.e. transfusion and discharge. The problems
encountered, and the implications of the present form
of patient care of anaemic "children in POW are discussed.
Recommendations are made regarding areas where improvement
can be made to effect better patient care. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Anaemia as seen in children admitted to the paediatric observation ward of the Kenyatta National Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | paediatrics and child health | en |