Ali Chamani; Mohsen Nematy; Faezeh Mashhadi; Mohammad Safarian; Majid Sezavar; Maryam Emadzadeh; Gholamreza Khademi; Fatemeh Roudi
Abstract
Background: Sepsis is a potentially fatal condition resulting from an infection and is recognized as a critical global health concern. Among children, sepsis causes many deaths and ...
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Background: Sepsis is a potentially fatal condition resulting from an infection and is recognized as a critical global health concern. Among children, sepsis causes many deaths and affects one-third of those in Pediatric Intensive Care Units (PICUs). Malnutrition in children, especially those in PICUs, increases susceptibility to sepsis. Critically ill children, especially those with sepsis, are at increased risk of malnutrition. Knowing the nutritional status at the start of hospitalization and patient management, planning and decision-making is particularly important.Methods: A Cross-sectional study conducted at Akbar Children's Hospital in Mashhad involved 54 children aged one month to 10 years with sepsis. Anthropometric measurements, including weight, height/length, BMI, and Z-scores were evaluated/calculated. Malnutrition was diagnosed using the weight-for-height Z score; a Z-score of -2 or lower was used to indicate moderate or severe malnutrition. Statistical analyses were done using SPSS version 22.0, with a significance level considered at P-values less than 0.05.Results: The study included 54 septic patients in PICU, including 53.7% girls and 46.3% boys. The mean age was 37 months, and mean body weight and height were 13.62 kg, and 88.85 cm, respectively. Malnutrition was found in 18.5% of the studied patients as moderate and 13% as severe grades, while 68.5% had a normal nutritional status.Conclusion: Malnutrition is prevalent among critically ill septic patients, indicating a crucial need for prompt intervention. Regular nutritional assessments and early, intensified nutritional support considering evidence-based local protocols, are essential for ensuring adequate energy and nutrients, potentially leading to improved outcomes for these vulnerable patients.
