Feeding practices and association of fasting and low or hypo glycaemia in severe paediatric illnesses in Malawi – a mixed method study

Autor: Fatsani Ngwalangwa, Chawanangwa Mahebere Chirambo, Cecilia Lindsjö, Queen Dube, Josephine Langton, Tim Baker, Helena Hildenwall
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Pediatrics, Vol 20, Iss 1, Pp 1-8 (2020)
Druh dokumentu: article
ISSN: 1471-2431
DOI: 10.1186/s12887-020-02305-4
Popis: Abstract Background The presence of low or hypo glycaemia in children upon admission to hospital in low income countries is a marker for poor outcome. Fasting during illness may contribute to low blood glucose and caretakers’ feeding practices during childhood illnesses may thus play a role in the development of low or hypo glycaemia. This study aims to describe the caretaker’s feeding practices and association of fasting with low or hypo glycaemia in sick children in Malawi. Methods A mixed method approach was used combining quantitative cross-sectional data for children aged 0–17 years admitted to Queen Elizabeth Central Hospital (QECH), a tertiary hospital in Malawi, with qualitative focus group discussions conducted with caretakers of young children who were previously referred to QECH from the five health centres around QECH. Logistic regression was used to analyse the quantitative data and thematic content analysis was conducted for qualitative data analysis. Results Data for 5131 children who were admitted through the hospital’s Paediatric Accident and Emergency Department (A&E) were analysed whereof 2.1% presented with hypoglycaemia (
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