Prevención y cribado de la ferropenia en lactantes

Ruiz-Cabello, Francisco Javier Sánchez

doi:10.4321/s1139-76322012000100013

Cited by 5 publications

(8 citation statements)

References 12 publications

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“…When iron stores are too low, usually due to dietary iron deficiency, the haemoglobin synthesis is impaired and results in iron deficiency anaemia (IDA). IDA is defined as haemoglobin level under two standard deviations for age and sex (< 11 g/dL for children between six months and five years), with serum ferritin under 10 to 12 μg/L [1,2]. Children under five years of age are especially at risk, and the major concern is that IDA may affect cognitive and psychomotor development.…”

Section: Why Is Iron Deficiency Anaemia Important?mentioning

confidence: 99%

“…Haemoglobin or haematocrit has a sensitivity estimated at 73% for detecting IDA, with a lower specificity estimated at 25%, as around half of cases with anaemia result from other causes than iron deficiency [1,7]. The positive predictive value (PPV) of low haemoglobin for iron deficiency was estimated from 10 to 40% in children of 12 months of age [7].…”

Section: Accuracy Of Ida Screening In Asymptomatic Children Under Five Years Of Agementioning

confidence: 99%

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Screening of iron deficiency anaemia in early childhood

Jullien

2021

BMC Pediatr

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We looked at existing recommendations and supporting evidence on the effectiveness of universal screening of iron deficiency anaemia (IDA) in children under five years of age for improving growth, cognitive function, and psychomotor development. We assessed the accuracy of the screening tests for detecting IDA, the efficacy of existing treatment for children with IDA, and the potential harms associated with screening and treatment.We conducted a literature search up to the 18th of August 2019 by using key terms and manual search in selected sources. We summarized the recommendations and the strength of the recommendation when and as reported by the authors. We summarized the main findings of systematic reviews with the certainty of the evidence as reported.There is no suitable test for IDA screening that is non-invasive with high accuracy for detecting IDA and there is uncertainty whether IDA in children causes cognitive and psychomotor delays. There is a lack of evidence on the effects of routine screening for IDA in asymptomatic children under five years of age on growth, cognitive and psychomotor development outcomes.Universal screening of IDA in children under five years of age is not recommended by most organisations such as the Spanish Association of Primary Care Paediatrics, the United Kingdom National Screening Committee, and the United States Preventive Services Task Force, but is recommended by the American Academy of Paediatrics. However, selective screening of IDA is recommended in infants and children with risk factors including prematurity, low birth weight, and dietary risk factors.

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Section: Why Is Iron Deficiency Anaemia Important?mentioning

confidence: 99%

Section: Accuracy Of Ida Screening In Asymptomatic Children Under Five Years Of Agementioning

confidence: 99%

Screening of iron deficiency anaemia in early childhood

Jullien

2021

BMC Pediatr

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“…ESPGHAN 2010 tuvo en cuenta un metaanálisis de los estudios publicados hasta 1992 y 3 trabajos posteriores que compararon diferentes dosis de Fe (44)(45)(46) . Con base en dichos trabajos aconseja la suplementación profiláctica de Fe en niños pre-término de peso superior a 1.800 g utilizando dosis de 2 mg/Kg/d de Fe como sulfato ferroso.…”

Section: Suplementación Con Hierrounclassified

“…El preparado de elección que se aconseja utilizar es el sulfato ferroso. En todos los casos, la administración deberá prolongarse hasta los 12 -18 meses de edad (46) . En conclusión, suplementar Fe (2 mg/Kg/día) desde las 6 semanas a los 6 meses reduce este riesgo de manera efectiva, sin efectos adversos a corto plazo sobre la morbilidad o el crecimiento.…”

Section: Suplementación Con Hierrounclassified

Intervenciones para prevenir la anemia ferropénica del niño prematuro. Controversias

Menéndez¹,

Vecchiarelli²,

Portela³

2018

Rev. Nutr. Clin. Metab.

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The third trimester of gestation is the period of highest accretion of macro and micronutrients. Preterm newborns present a lower weight than full-term newborns. They should have a postnatal growth pace to allow them to reach a normal fetus composition of that conception age. To do so, an early nutrition should be set up to contribute several more amounts of nutrients than normally needed for full-term newborns, preventing complications during hospital stay. Nutritional deficit is difficult to compensate despite of early enteral and parenteral nutrition with fortified human milk. Iron plays an essential role and its depletion generates iron deficiency anemia which is common among this population as well as neurodevelopmental disorders. There are preventive measures such as delayed cord clamping and blood extraction control during hospitalization. However, there are some controversial issues in relation to iron doses, treatment duration, administration ways, transfusion criteria, the association with enterocolitis. In order the risk of angiogenic effect in the increase incidence of retinopathy on preterm infants. In current practice, the pediatrician faces the dilemma of deciding among different strategies to administer iron amounts so as to avoid iron deficiency anemia and also the excess related problems, so as to get rid of economic and social costs on the short and long terms, enhancing the development and health on childhood, teenage and adulthood.

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“…Esto produce alteraciones en la anatomía, histoquímica y metabolismo neuronal. El diagnóstico de anemia ferropénica se confirma mediante el hallazgo de un nivel de hemoglobina por debajo Artículo original de dos desvíos estándar para la edad y depósitos de hierro disminuidos (6) (7) .…”

Section: Introductionunclassified

Screening de hemoglobina en una población de lactantes

Delfino

Silveira

Liebstreich

et al. 2019

AnFaMe

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La deficiencia de hierro es la causa más frecuente de anemia en pediatría. Su detección precoz, tratamiento correcto y profilaxis adecuada, constituyen una prioridad sanitaria en nuestro país. Objetivo: Describir el screening de hemoglobina realizado en lactantes con edades comprendidas entre 8 y 12 meses, usuarios de un centro de atención pediátrico de Montevideo, en el período comprendido entre 2 de mayo y 31 de octubre de 2015 y evaluar factores de riesgo de anemia ferropénica presentes. Se revisaron sus historias clínicas, consignando datos epidemiológicos, antecedentes perinatales, alimentación recibida y si recibieron suplementación con hierro adecuada. Se registró si se había realizado la medición de hemoglobina por punción digital y el valor medido. Se comparó la prevalencia de factores de riesgo entre niños con y sin anemia. En el período evaluado fueron asistidos 62 niños: 3 pretérminos de 34 semanas o menos; 15 con peso al nacer menor a 3000 gramos; 42 con lactancia materna exclusiva durante 6 meses; 54 con alimentación complementaria adecuada; 45 con suplementación de hierro. Se realizó la medición de hemoglobina por punción digital a 55 niños. Tenían anemia 28 niños (82 % leve). No se encontró asociación de padecer anemia con los factores de riesgo estudiados excepto el cumplimiento de la profilaxis con suplemento de hierro. Concluimos que la prevalencia de anemia en este grupo fue elevada y que la suplementación con hierro es importante para su prevención.

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Prevención y cribado de la ferropenia en lactantes

Cited by 5 publications

References 12 publications

Screening of iron deficiency anaemia in early childhood

Screening of iron deficiency anaemia in early childhood

Intervenciones para prevenir la anemia ferropénica del niño prematuro. Controversias

Screening de hemoglobina en una población de lactantes

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