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[1] In North Darfur 28percentt of children suffer from acute malnutrition -- almost twice the UN's "emergency" level; [2] Moderate or severe wasting from malnutrition affects some 817,000 children in Sudan; [3] More than 2 million Sudanese children are malnourished; [4] "Severe wasting" affects five percent of the under-five population in Sudan as a whole.
Acute severe malnutrition was defined as the presence of bilateral pedal edema or severe wasting.
We assessed the ability of the birthweight data to predict the child's growth failure as measured by underweight, severe underweight, stunting, severe stunting, wasting and severe wasting.
On admission, 217 (3.6%) had bilateral pitting oedema, 1803 (29.8%) had severe wasting with medical complications and 4021 (66.6%) had uncomplicated severe wasting (Table 1).
The prevalence for wasting and severe wasting prevalence remained high in under-five children (15).
SAM was defined by the presence of bilateral pitting oedema or the presence of severe wasting.
Two hundred patients (81.3%) had severe wasting whereas 46 patients (18.7%) had oedematous malnutrition.
A total of 217 children (3.6%) had bilateral pitting oedema, 1803 (29.8%) had severe wasting with medical complications, 4021 (66.6%) had uncomplicated severe wasting and 4810 (79.7%) were in the age group 6 23 months old.
HIV seropositive patients were significantly more likely than HIV seronegative patients to have severe wasting than oedematous malnutrition (89.6% of HIV seropositive children had severe wasting as against 78.2% in HIV seronegative children; p value = 0.042).
McM and marasmus had in general a higher incidence at all ages than their anthropometrical counterparts, moderate and severe wasting.
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The mean MUAC increase during SC stay appeared to be higher in children with more-severe wasting.
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