الفهرس 
Assessment of severity of acute gastroenteritis in relation to nutritional status in infants
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Abstract
Introduction: Diarrheal disease is one of the most common infectious diseases worldwide and remains the third cause of mortality among children less than five year old. The aim of the study was to evaluate the severity of acute gastroenteritis using Vesikari scoring system and WHO dehydration score and to correlate it with the nutritional and socioeconomic status of included patients. Patients and Methods: This study was cross sectional study on 348 children, between 2 months and 5 years old of both sexes who attended gastroenterology causality. They were subjected for clinical evaluation by history, assessment of severity of gastroenteritis by Vesikari scoring system and WHO dehydration score. We measured the anthropometric parameters then plotted them on WHO and CDC growth charts. Detection of socioeconomic level of the study group was done by using El-Gilany modified score.Results: 26.2% of patients were underweight, 30.7% of patients were stunted and 26.2% were wasted according to WHO malnutrition classification. Using Vesikari score we assessed severity of attack of gastroenteritis and found that four patients (1%) had mild attack, eighty eight patients (25.3%) had moderate attacks while two hundred and fifty six patients (73.6%) had severe attack of gastroenteritis. By using El-Gilany modified score for socioeconomic assessment we found that fifteen patients (4.3 %) had very low socioeconomic state, two hundred and six patients (59.2%) had low socioeconomic, one hundred and twenty one patients (34.8%) had moderate socioeconomic status while only six patients (1.7%) had high socioeconomic status. By logistic multivariate regression test we found that artificial feeding and living in urban slums areas are risk factors for severe attack of diarrhea according to Vesikari score