International Journal of Pharma and Bio Sciences
 
 
    ISSN 0975-6299
www.ijpbs.net


ORIGINAL RESEARCH ARTICLE
Int J Pharm Bio Sci Volume 13 Issue 1, January - March, Pages:17-22

A Study on Zinc Utilization in the Treatment of Acute Diarrhoea among The Paediatric In - Patients of JNIMS Hospital, Imphal – A Retrospective Study

 

Laitonjam Jonita Devi, Oinam Joychandra, Debashree Ningthoujam , And Neerajkumar Sharma Manohar
DOI: http://dx.doi.org/10.22376/ijpbs.2022.13.1.P17-22
Abstract:

Acute diarrhoeal disease is a public health problem. Treatment of this disease with ORS along with zinc supplementation is a big challenge. Zinc supplementation in the treatment of diarrhoea has shown to decrease the duration and severity of diarrhoeal episodes and hospitalization rates. The study examines the role of Zinc in the management of acute diarrhoea among paediatric in-patients in JNIMS Hospital, Imphal. Zinc is necessary for physiological processes including defence against infections. Zinc deficiency is responsible for 4% of global child morbidity and mortality1. Zinc supplements given for 10–14 days together with low-osmolarity oral rehydration solution (Lo-ORS) are recommended for the treatment of childhood diarrhoea. In children aged ≥6 months, daily zinc supplements reduces the duration of acute diarrhoea episodes by 12 hours and persistent diarrhoea by 17 hours. The present study was undertaken to study the effect of zinc supplementation in the treatment of acute paediatric diarrhoea. A retrospective observational study was conducted among paediatric patients in JNIMS paediatric ward for a period of 6 months from October 2020 to March 2021.A total of 160 case sheets were collected for the study.{92(57.5%) males and 68 (42.5%) females}. The data collected included demographics of the children, diagnosis and line of management. Descriptive statistics were used to analyse the observations. The group of patients receiving ORS with Zinc showed significant reduction in frequency of diarrhoeal episodes on the third day of treatment as compared to the group of patients given only ORS without Zinc (p<0.001). Administration of Zinc with ORS was found to reduce the mean duration of hospital stay.

Keywords: Zinc, Diarrhoea, ORS, Child Morbidity, Child Mortality
Full HTML:

REFERENCES

  1. Penny ME. Zinc supplementation in public health. Ann Nutr Metab. 2013;62 (Suppl 1):31-42. doi: 10.1159/000348263, PMID 23689111.
  2. Putri WB, Akhmad SA, Desrini S. The role of zinc supplementation for diarrhoea: a critical review: Bangladesh. J Med Sci. Apr 2019;18(2):190-5.
  3. Snyder JD, Merson MH. The magnitude of the global problem of acute diarrhoeal disease: a review of active surveillance data. Bull World Health Organ. 1982;60(4):605-13. PMID 6982783.
  4. Hoque KM, Binder HJ. Zinc in the treatment of acute diarrhoea: current status and assessment. Gastroenterology. 2006;130(7):2201-5. doi: 10.1053/j.gastro.2006.02.062, PMID 16762641.
  5. Azzubaidi MS, Simbak NB et al. Antioxidant effects of oral zinc sulfate in patients with Behçet’s disease: IJLPR. Vol. 11(2); Mar 2021. p. 85-9.
  6. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J, Maternal and Child Undernutrition Study Group. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243-60. doi: 10.1016/S0140-6736(07)61690-0, PMID 18207566.
  7. Khan WU, Sellen DW. Zinc supplementation in the management of diarrhoea WHO April 2011, 1-6 (Elena).
  8. Mazumder S, Taneja S, Bhandari N, Dube B, Agarwal RC, Mahalanabis D, Fontaine O, Black RE. Effectiveness of zinc supplementation plus oral rehydration salts for diarrhoea in infants aged less than 6 months in Haryana state, India. Bull World Health Organ. 2010;88(10):754-60. doi: 10.2471/BLT.10.075986, PMID 20931060.
  9. Bhutta ZA, Bird SM, Black RE, Brown KH, Gardner JM, Hidayat A, Khatun F, Martorell R, Ninh NX, Penny ME, Rosado JL, Roy SK, Ruel M, Sazawal S, Shankar A. Therapeutic effects of oral zinc in acute and persistent diarrhoea in children in developing countries: pooled analysis of randomized controlled trials. Am J Clin Nutr. 2000;72(6):1516-22. doi: 10.1093/ajcn/72.6.1516, PMID 11101480.
  10. Sazawal S, Black RE, Bhan MK, Bhandari N, Sinha A, Jalla S. Zinc supplementation in young children with acute diarrhoea in India. N Engl J Med. 1995;333(13):839-44. doi: 10.1056/NEJM199509283331304, PMID 7651474.
  11. Roy SK, Tomkins AM, Akramuzzaman SM, Behrens RH, Haider R, Mahalanabis D, Fuchs G. Randomised controlled trial of zinc supplementation in malnourished Bangladeshi children with acute diarrhoea. Arch Dis Child. 1997;77(3):196-200. doi: 10.1136/adc.77.3.196, PMID 9370894.
  12. Golden BE, Golden MHN. Zinc, sodium and potassium losses in the diarrhoeas of malnutrition and zinc deficiency. In: Mills CF, Bremner I, Chesters JK, editors. Trace elements in man and animals TEMA 5. Aberdeen: Rowett Research Institute; 1985. p. 228-32.
  13. Bettger WJ, O’Dell BL. A critical physiological role of zinc in the structure and function of biomembranes. Life Sci. 1981;28(13):1425-38. doi: 10.1016/0024-3205(81)90374-x, PMID 7017326.
  14. Gebhard RL, Karouani R, Prigge WF, McClain CJ. The effect of severe zinc deficiency on activity of intestinal disaccharidases and 3-hydroxy-3-methylglutaryl coenzyme A reductase in the rat. J Nutr. 1983;113(4):855-9. doi: 10.1093/jn/113.4.855, PMID 6403680.
  15. Shankar AH, Prasad AS. Zinc and immune function: the biological basis of altered resistance to infection. Am J Clin Nutr. 1998;68(2);Suppl 2:447S-63S. doi: 10.1093/ajcn/68.2.447S.
  16. Fenwick PK, Aggett PJ, Macdonald D, Huber C, Wakelin D. Zinc deficiency and zinc repletion: effect on the response of rats to infection with Trichinella spiralis. Am J Clin Nutr. 1990;52(1):166-72. doi: 10.1093/ajcn/52.1.166, PMID 2360546.
  17. Bhutta ZA, Black RE, Brown KH, Gardner JM, Gore S, Hidayat A, Khatun F, Martorell R, Ninh NX, Penny ME, Rosado JL, Roy SK, Ruel M, Sazawal S, Shankar A. Prevention of diarrhoea and pneumonia by zinc supplementation in children in developing countries: pooled analysis of randomized controlled trials. Zinc Investigators’ Collaborative Group. J Pediatr. 1999;135(6):689-97. doi: 10.1016/s0022-3476(99)70086-7. PMID 10586170.
  18. Rahman MM, Vermund SH, Wahed MA, Fuchs GJ, Baqui AH, Alvarez JO. Simultaneous zinc and vitamin A supplementation in Bangladeshi children: randomised double blind controlled trial. BMJ. 2001;323(7308):314-8. doi: 10.1136/bmj.323.7308.314, PMID 11498488.
  19. Bajait C, Thawani V. Role of zinc in pediatric diarrhea. Indian J Pharmacol. 2011 May–Jun;43(3):232-5. doi: 10.4103/0253-7613.81495, PMID 21713083.
  20. Shimelis D, Benti D, Challi D. Effect of zinc supplementation in treatment of acute diarrhoea among 2-59 months children treated in Black Lion Hospital, Addis Ababa, Ethiopia. Ethiop J Health Dev. 2008;22(2):187-90.
  21. Sazawal S, Black RE, Menon VP, Dinghra P, Caulfield LE, Dhingra U, Bagati A. Zinc supplementation in infants born small for gestational age reduces mortality: a prospective, randomized, controlled trial. Pediatrics. 2001;108(6):1280-6. doi: 10.1542/peds.108.6.1280, PMID 11731649.
  22. Umeta M, West CE, Haidar J, Deurenberg P, Hautvast JG. Zinc supplementation and stunted infants in Ethiopia: a randomised controlled trial. Lancet. 2000;355(9220):2021-6. doi: 10.1016/S0140-6736(00)02348-5, PMID 10885352.
  23. Brown KH, Rivera JA, Bhutta Z, et al. Assessment of the risk of zinc deficiency in populations. Food Nutr Bull. 2004;25(1):130-62.
  24. Fischer Walker CL, Bhutta ZA, Bhandari N, Teka T, Shahid F, Taneja S, Black RE, Zinc Study Group. Zinc supplementation for the treatment of diarrhea in infants in Pakistan, India and Ethiopia. J Pediatr Gastroenterol Nutr. Sep 2006;43(3):357-63.doi: 10.1097/01.mpg.0000232018.40907.00, PMID 16954960.

 

 

 

 

[Download PDF]
Welcome to IJPBS,Pharmaceutics, Novel, drug, delivery, system, Nanotechnology, Pharmacology, Pharmacognosy
Pharmaceutical Fields
Welcome to IJPBS,Pharmaceutics, Novel, drug, delivery, system, Nanotechnology, Pharmacology, Pharmacognosy Pharmaceutics
Welcome to IJPBS,Pharmaceutics, Novel, drug, delivery, system, Nanotechnology, Pharmacology, Pharmacognosy Novel drug delivery system
Welcome to IJPBS,Pharmaceutics, Novel, drug, delivery, system, Nanotechnology, Pharmacology, Pharmacognosy Nanotechnology
Welcome to IJPBS,Pharmaceutics, Novel, drug, delivery, system, Nanotechnology, Pharmacology, Pharmacognosy Pharmacology
Welcome to IJPBS,Pharmaceutics, Novel, drug, delivery, system, Nanotechnology, Pharmacology, Pharmacognosy Pharmacognosy
© Copyright 2009-2015 IJPBS, India. All rights reserved. Specialized online journals by ubijournal. Website by Ubitech Solutions
         Home I Contact I Terms & Conditions