Vitamin D supplementation in paediatric acute respiratory tract infection– is it really advocated?
Abstract
Objectives: 1.To estimate the level of serum 25 hydroxyvitamin D [25(OH)D] levels in patients of Acute respiratory tract infections (ARTI) admitted in the pediatric ward of a rural hospital. 2. To study the association between vitamin D deficiency and respiratory tract infections by estimating serum 25 hydroxyvitamin D [25(OH)D] levels in these patients.
Materials and Methods: A hospital-based observational study was carried out in the patients admitted for ARTI from pediatric ward over 6 month’s duration. A total of 52 subjects between the age group 2 to 60 months were selected for the study.
Results: Average Vitamin D levels were 39.6 ng/dl. On the basis of results of Vitamin D level it has been divided into four categories namely, deficient, insufficient, sufficient, and toxic. The number of children with deficient levels and insufficient levels were 33 (63%), sufficient levels were 11 (21 %), where as those with toxic levels were 8 (15%).
Conclusion: Vitamin D levels are found to be lower in 63% cases of ARTI. However 15% children had Vitamin D levels in a toxic range. Therefore Vitamin D should not be arbitrarily administered in a therapeutic dose in all children with ARTI. Vitamin D supplementation is to be given after estimation of Vitamin D levels in all ARTI patients. There is a need of more studies to be done on a larger sample size to reach to a certain conclusion.
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References
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Copyright (c) 2016 Author (s). Published by Siddharth Health Research and Social Welfare Society
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