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首页> 外文期刊>BMC Pediatrics >Nutritional status, exclusive breastfeeding and management of acute respiratory illness and diarrhea in the first 6?months of life in infants from two regions of Indonesia
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Nutritional status, exclusive breastfeeding and management of acute respiratory illness and diarrhea in the first 6?months of life in infants from two regions of Indonesia

机译：印度尼西亚两个地区婴儿出生后头6个月的营养状况，纯母乳喂养和急性呼吸道疾病和腹泻的管理

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Infant morbidity and mortality rates remain high in Indonesia, with acute respiratory illnesses (ARI) and diarrhea the leading two health problems in children under 5 years. We aimed to describe the nutritional status, feeding practice and case management of ARI and diarrhea of infants from two regions of Indonesia during the first 6?months of life. This study was an observational study conducted in parallel to an immunogenicity and efficacy trial of an oral rotavirus vaccine (RV3-BB) in the Klaten and Yogyakarta regions, Indonesia. Mothers were interviewed at 3 time points: within the first 6 days of their infant’s life, and at 8–10 and 22–24?weeks of age. Questions asked included pregnancy history, infant nutritional status, feeding status and health of infants within up to 2?weeks prior to the assessment. Between February 2013 and January 2014, 233 mother-infant pairs were recruited. 60% (136/223) of infants were exclusively breastfed (EBF) until 6?months of age with the strongest support for EBF reported by mothers themselves 70% (101/223) and 25% (36/223) from their partners. At 6?months, 6% (14/223) of infants were underweight and severely underweight; 4% (8/ 223) wasted and severely wasted; and 12% (28/223) were stunted and severely stunted. Non-recommended medication use was high, with 54% (21/39) of infants with reported cough within 2?weeks of an assessment receiving cough medication, 70% (27 /39) an antihistamine, 26% (10/39) a mucolytic and 15% (6 /39) an oral bronchodilator. At age 22–24?week, infants with reported diarrhea within 2?weeks of an assessment had low use of oral rehydration solutions (ORS) (3/21;14%) and zinc therapy (2/ 21;10%). In this unique observational study, breastfeeding rates of 60% at 6?months were below the Indonesian national target of >75%. Adherence to WHO guidelines for management of ARI and diarrhea was poor, with high use of non-recommended cough medications and oral bronchodilators in the first 6 months of life and low use of ORS and zinc therapy. Ongoing education of primary health care workers and parents regarding management of common illness is needed in Indonesia.
机译：在印度尼西亚，婴儿的发病率和死亡率仍然很高，其中急性呼吸道疾病（ARI）和腹泻是5岁以下儿童的两个主要健康问题。我们的目的是描述在生命的头6个月内，印度尼西亚两个地区的婴儿的营养状况，喂养习惯以及ARI和腹泻的病例管理。这项研究是一项观察性研究，与在印度尼西亚的Klaten和日惹地区的口服轮状病毒疫苗（RV3-BB）的免疫原性和功效试验同时进行。在三个时间点对母亲进行了采访：在婴儿出生后的头6天内，以及在8-10周和22-24周龄。在评估前最多2周内，要问的问题包括妊娠史，婴儿的营养状况，喂养状况和婴儿的健康状况。在2013年2月至2014年1月之间，招募了233对母婴。 60％（136/223）的婴儿是纯母乳喂养（EBF），直到6个月大，母亲本人报告说，其伴侣对EBF的支持最大，分别为70％（101/223）和25％（36/223）。在6个月时，有6％（14/223）的婴儿体重过轻和严重过轻; 4％（8/223）被浪费和严重浪费;和12％（28/223）的发育不良和严重发育不良。不推荐使用药物的比例很高，评估后2周内有54％（21/39）的报告咳嗽的婴儿接受了咳嗽药物的治疗，70％（27/39）的抗组胺药，26％（10/39）的a粘液溶解和15％（6/39）口服支气管扩张剂。在22-24周龄时，评估后2周内有腹泻的婴儿口服补液（ORS）（3/21; 14％）和锌疗法（2/21; 10％）的使用率较低。在这项独特的观察性研究中，在6个月时60％的母乳喂养率低于印尼国家目标> 75％。世卫组织关于急性呼吸道疾病和腹泻的治疗指南依从性较差，在出生后的头6个月中大量使用了非推荐的止咳药和口服支气管扩张剂，而口服补液盐和锌疗法的使用率较低。印度尼西亚需要对初级卫生保健工作者和父母进行有关常见病管理的持续教育。

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