The evaluation of children with iron deficiency anemia


A cross sectional study is done on children aged 6mo-5year attained the outpatient clinic in Tikritteaching hospital and Beji general hospital during the period from the 1st of January to the last ofJune 2005. The total number of cases included were 200 cases from which 113 cases are anemic(prevalence 56.5%) and the total patients with iron deficiency anemia were 58 case (29%). Maleswere 23 cases while females were 35 cases. The majority of cases are in the age group 6mo-1year(41.1%)and most of the cases are from the rural areas (62.1%). Exclusive breast feeding is thecommonest way of feeding in the affected group (54.8%).Most of the affected children are belongto illiterate mothers (63.8%).History of PICA and pallor of skin and mucus membrane and arepresent in 75.9% and 84.5% respectively. Most of the affected cases have mild malnutrition(53.4%).Hepatosplenomegaly was present in 63% and change in behavior was present in 56.9% ofthe affected cases. The range of serum iron among our study cases was 5.10-6.9 micromol/L forinfants and 7.80-8.41 micromol/L for older children. Total iron binding capacity and the reticscount are increased in 84.5% , 39.7%of cases respectively. Most of our affected cases havehemoglobin in the range of 5.1-9.9 gm/dl. The study recommend for establishing new screeningprograms for early detection of iron deficiency anemia.