Cadernos de Saúde Pública
On-line version ISSN 1678-4464Print version ISSN 0102-311X
FALBO, Ana Rodrigues; ALVES, João Guilherme Bezerra; BATISTA FILHO, Malaquias and CABRAL-FILHO, José Eulálio. Implementation of World Health Organization guidelines for management of severe malnutrition in a hospital in Northeast Brazil. Cad. Saúde Pública [online]. 2006, vol.22, n.3, pp.561-570. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2006000300011.
To assess the implementation of WHO guidelines for managing severely malnourished hospitalized children, a case-series study was performed with 117 children from 1 to 60 months of age. A checklist was prepared according to steps in the guidelines and applied to each patient at discharge, thus assessing the procedures adopted during hospitalization. Daily spreadsheets on food and liquid intake, clinical data, prescribed treatment, and laboratory results were also used. 36 steps were evaluated, 24 of which were followed correctly in more than 80% of cases; the proportion was 50 to 80% for seven steps and less than 50% for five steps. Monitoring that required frequent physician and nursing staff bedside presence was associated with difficulties. With some minor adjustments, the guidelines can be followed without great difficulty and without compromising the more important objective of reducing case-fatality.
Keywords : Malnutrition; Hospitalization; Nutrition Therapy; Child Welfare.