Kwashiorkor, Marasmus
Conditions
Brief summary
The benefit of anti-worm therapy as part of the case management of severe acute malnutrition (SAM) in the outpatient setting has not previously been studied. This study will compare recovery rates of children with SAM treated in the community with locally-produced ready-to-use therapeutic food (RUTF) with and without prescribed albendazole as part of their case management.
Interventions
placebo given once
single dose albendazole given at the time of enrollment
Sponsors
Study design
Eligibility
Inclusion criteria
* 12-59 months old * Kwashiorkor and/or Marasmus * Qualified for home-based therapeutic feeding with RUTF
Exclusion criteria
* Obvious congenital or other malformation that makes child a poor candidate for feeding with RUTF * Unable to consume test-dose of RUTF in clinic * Parent refusal to participate and return for follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| nutritional recovery | 12 weeks | Weight-for-Height Z-score (WHZ) \> -2 without bipedal pitting edema |
| mortality | 12 weeks | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| malnutrition relapse | 6 months | acute malnutrition, either moderate (WHZ \< -2) or severe (WHZ \< -3 and/or bipedal pitting edema) |
| height and weight gain | 6 months | — |
Countries
Malawi