Daily and every other day use of iron prophylaxis in the first year of life

Abstract

K Ko or ru uy yu uc cu u d de em mi ir r d do oz zu un nu un n h ha ay ya at t› ›n n i il lk k y y› ›l l› ›n nd da a g gü ün nl lü ük k v ve e g gü ün na afl fl› ›r r› › k ku ul ll la an n› ›m m› › D Da ai il ly y a an nd d e ev ve er ry y o ot th he er r d da ay y u us se e o of f i ir ro on n p pr ro op ph hy yl la ax xi is s i in n t th he e f fi ir rs st t y ye ea ar r o of f l li if fe e V Ve ef fi ik k A Ar r› ›c ca a, , S Se eç çi il l A Ar r› ›c ca a* *, , M Mu ur ra at t T Tu ut ta an nç ç, , S Se ed da at t M Mo ot to or r* ** *, , H Ha at ti ic ce e O On nu ur r* ** ** *, , M Mu ur ra at t D Do o¤ ¤a an n* ** ** ** * S Su um mm ma ar ry yAim: In countries like Turkey where iron deficiency anemia (IDA) is common, it was that iron prophylaxis can be used every other day as intermittent because it would show the same effect and easier for compliance. Material and Method: Two groups of infants born healthy, breastfed exclusively for the first six months and given 400 IU vitamin D were included in the study. In the fourth month of their life, infants started to take iron (Fe +2) 1 mg/kg/day and the second group 2 mg/kg/48 h In use of daily 1 mg/kg/day dose as of the fourth month till the first year 75 patients (the first group), in use of 2 mg/kg/48 h 80 patients (the second group) were involved in our study group. 34 infants (the third group) who did not start to take iron prophylaxis or use any was taken in our study as a control group. Results: It was found out that in the first group 14 infants (18.6%) developed iron deficiency (ID), 3 infants (4%) iron deficiency anemia (IDA), in the second group 16 infants (20%) developed ID and 4 infants (5%) IDA, in the third group, namely in the control group 12 infants (35,3%) developed ID and 10 infants (29.4%) IDA. In comparison of the control group with the first and second groups, IDA portion was less in iron prophylaxis groups, this value was found statistically reliable (p=0.001). When the first and second groups were compared with one another, a statistical difference could not be found between ID/IDA proportions. Because ID and IDA were encountered in both prophylaxis groups it was assumed that iron prophylaxis given just during the first year of life should also be given afterwards. Conclusions:There is no statistical difference between the first and second prophylaxis groups, thus, it was considered that instead of daily use, taking iron every other day would be more effective when it was given in a proper dose. (