Rate of Serum Electrolyte Derangement among Pakistani Children Having Acute Diarrhea and Dehydration K.P.K North Population Base Study (Pakistan)

Authors

  • Dr Muhammad Qasim Khan
  • Kiramat Ullah
  • Khalil Ahmad
  • Sijad Ur Rehman
  • Abbas Ali Khan
  • Inayat Ullah
  • Qasim Khan
  • Qiam Ud Din

DOI:

https://doi.org/10.47672/ajhmn.931

Keywords:

Rate, serum electrolyte, diarrhea, dehydration.

Abstract

Purpose: To study serum electrolyte derangements among children with acute diarrhea presenting with dehydration.

Methodology: Cross-sectional and descriptive study in department of Pediatrics, MMC Hospital, Mardan (Pakistan) for from 01-02-2020 to 31-10-2020. A total of 390 children having acute diarrhea with dehydration were included. Five milliliters (5mls) of blood was drawn and estimation of serum Sodium and potassium levels were done.

Findings: In 390 cases, 218 (55.9%) were males while 1 72 (44.1%) were females.      The mean age was 2.5±1.5 years. Out of 390 cases, 2(0.51%) had no dehydration, some dehydration was noted in 218 (55.9%) cases while 170 (43.59%) cases had severe dehydration. Hypernatremia was noted in 218 (55.9%) cases and hypokalemia was noted in 77(19.74%) cases.

Conclusion: High rate of hyponatremia and hypokalemia was seen in our study in children with acute diarrhea and dehydration. Hyponatremia and hypokalemia was significantly associated with age, gender and grades of dehydration.

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Author Biographies

Dr Muhammad Qasim Khan

Department of Pediatric Medicine ward MMC/BKMC, Mardan, Pakistan.

Kiramat Ullah

Department of Pediatric Medicine ward MMC/BKMC, Mardan, Pakistan.

Khalil Ahmad

Department of Pediatric Medicine ward MMC/BKMC, Mardan, Pakistan.

Sijad Ur Rehman

Associate Professor Pediatric GKMC/BKMC, Swabi, Pakistan.

Abbas Ali Khan

Department of Pediatric Medicine ward MMC/BKMC, Mardan, Pakistan.

Inayat Ullah

Senior Registrar Neonatology GKMC/BKMC, Swabi, Pakistan.

Qasim Khan

Department of Pediatric Medicine ward MMC/BKMC, Mardan, Pakistan.

Qiam Ud Din

District children specialist DHQ hospital, Timergira lower Dir, Pakistan.

References

Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 2010; 375:1969-87.

Saeed A, Abd H, Sandstrom G. Microbial aetiology of acute diarrhoea in children under five years of age in Khartoum, Sudan. J Med Microbiol. 2015 Apr;64(Pt 4):432-7.

Bhutta ZA, Das JK, Walker N et al. Interventions to address deaths from childhood pneumonia and diarrhoea equitably: what works and at what cost? Lancet.2013;381:1417-29.

Rahman AE, Moinuddin M, Molla M et al. Childhood diarrhoeal deaths in seven low- and middle-income countries. Bull World Health Organ. 2014 Sep 1;92(9):664-71..

Mladenova Z, Steyer A, Steyer AF et al. Aetiology of acute paediatric gastroenteritis in Bulgaria during summer months: prevalence of viral infections. J Med Microbiol. 2015 Mar;64(Pt 3):272-82.

Rathaur VK, Pathania M, Jayara A. Clinical study of acute childhood diarrhoea caused by bacterial entero pathogens. J Clin Diagn Res. 2014 May;8(5):PC01-5.

Moyo SJ, Gro N, Matee MI et al. Age specific aetiological agents of diarrhoea in hospitalized children aged less thanfive years in Dar es Salaam, Tanzania. BMC Pediatr. 2011 Feb 23;11:19. doi: 10.1186/1471-2431-11-19.

Bilal A, Sadiq MA, Haider N. Frequency of hyponatraemia and hypokalaemia in malnourished children with acute diarrhoea. J Pak Med Assoc. 2016 Sep;66(9):1077-1080.

Zahoor S, Afzal MF, Iqbal SMJ et al. Rotavirus diarrhoea in children below 5 years of age. Pak Paed J Jul - Sep 2012;36(3):128-31.

Okposio MM, Onyiriuka AN, Abhulimhen-Iyoha BI. Point-of- Admission Serum Electrolyte Profile of Children less than Five Years Old with Dehydration due to Acute Diarrhoea. Trop Med Health 2015;43(4):247-52.

Weizman Z, Houri S, Ben-Ezer Gradus D. Type of acidosis and clinical outcome in infantile gastroenteritis. J Pediatr Gastroenterol Nutr 1992; 14:187-91.

Odey FA, Etuk IS, Etukudoh MH, Meremikwu MM. Hypokalaemia in children hospitalised for diarrhoea and malnutrition in Calabar, Nigeria. Niger Postgrad Med J 2010; 17:19-22.

Petzold A. Disorders of plasma sodium. N Engl J Med 2015; 372:1267. 11. Chouchane S, Fehri H, Chouchane C, Merchaoui Z, Seket B, Haddad S, et al. Hypernatremic dehydration in children: retrospective study of 105 cases. Arch Pediatr 2005; 12:1697-702.

Rand SE, Colberg A. Neonatal hypernatremic dehydration secondary to lactation failure. J Am Board Fam Pract 2001; 14:155-8.

Ergenekon E, Unal S, Gücüyener K, Soysal SE, Koç E, Okumus N, et al. Hypernatremic dehydration in the newborn period and long-term follow up. Pediatr Int 2007; 49:19-23.

Bolat F, Oflaz MB, Güven AS, Özdemir G, Alaygut D, Dogan MT, et al. What is the safe approach for neonatal hypernatremic dehydration? A retrospective study from a neonatal intensive care unit. Pediatr Emerg Care 2013; 29: 808-

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Published

2022-02-18

How to Cite

Khan, M. Q. ., Ullah, K. ., Ahmad, K. ., Rehman, S. U. ., Khan, A. A. ., Ullah, I. ., … Din, Q. U. . (2022). Rate of Serum Electrolyte Derangement among Pakistani Children Having Acute Diarrhea and Dehydration K.P.K North Population Base Study (Pakistan). American Journal of Health, Medicine and Nursing Practice, 7(3), 21–25. https://doi.org/10.47672/ajhmn.931

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