Vol. 3 No. 01 (2020)
Original Article

Etiology of Iron Deficiency Anemia in the Pediatric Outpatient Department at a Tertiary Care Hospital in Dhaka

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Marium Begum
Associate Professor, Department of Pediatric Medicine, Bashundhara Ad-din Medical College Hospital
Munima Haque
Research Fellow, Relevant Science & Technology Society, Bangladesh
Dipa Shaha
Assistant Professor, Department of Pediatric Medicine, Bashundhara Ad-din Medical College Hospital, Bangladesh
Mahmuda Hasan
Professor, Ad-din Women Medical College Hospital, Dhaka, Bangladesh
Shameema Ara Begum
Assistant Professor, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Md. Kamrul Ahsan Khan
Assistant Professor (Neonatology), Sheikh Sayera Khatun Medical College. Gopalgonj

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Abstract

Background: Anemia is a regular challenge in infancy, particularly children of six months to twenty-four  months of age. Generally, in Bangladesh, 68% of patients between 6 to 59 months are anemic. Anemia  affects natural growth, reduces physical activity and academic functioning in infants who may indicate a  delayed development. Objective: To investigate the etiology of iron deficiency anemia among 6 to 36  months old child. Methodology: This cross sectional study was done at Bashundhara Ad-din Medical  College Hospital (BAMCH), Dhaka, Bangladesh at outpatient department (OPD). A 110 anemic children, 6  to 36 months with Hb <11gm/dl were enrolled purposively in this study during September 2017 to June  2018. Other than CBC, additional investigation e.g. stool R/E, Hb electrophoresis, and serum ferritin for  anemic patients were investigated to find out the cause of anemia. Results: Amongst 110 enrolled patients,  66 (60.0%) were male, while 44 (40.0%) were female. Most of them had moderate anemia (75%). Moderate  and severe anemia was found more among 6-12 months’ age group who were belongs to poor and middle  socioeconomic status. Weight <11kgs, iron deficient diets, pre-lacteal feeding were found significant risk  factors for moderate and severe anemia and among them anorexia, palpitation, recurrent infection was  found common presentation. Conclusion: A considerable percentage of OPD children from 6 to 36 months
were anemic. Low socioeconomic status and mal feeding were found significant risk factors for moderate  to severe anemia.

Published 22-09-2021

Keywords

  • Anemia,
  • hemoglobin,
  • iron deficiency,
  • children

How to Cite

1.
Begum M, Haque M, Shaha D, Hasan M, Begum SA, Khan MKA. Etiology of Iron Deficiency Anemia in the Pediatric Outpatient Department at a Tertiary Care Hospital in Dhaka . The Insight [Internet]. 2021 Sep. 22 [cited 2023 Feb. 4];3(01):7. Available from: https://bdjournals.org/index.php/insight/article/view/66