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WHO guidelines for severe malnutrition: are they feasible in rural African hospitals?
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  • Published on:
    WHO guidelines for severe malnutrition: a Gambian experience

    Dear Editor,

    We would like to congratulate Karaolis et al [1] on their comprehensive study and to report our own findings on adherence to WHO guidelines on management of severe malnutrition following training.

    The Royal Victoria Teaching Hospital (RVTH) is the main tertiary referral hospital in The Gambia, West Africa. Annual paediatric admissions for 2003 were 6585. There is up to 400% bed occupancy in the...

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    Conflict of Interest:
    None declared.
  • Published on:
    Using research experience to improve WHO guidelines for severe malnutrition

    Dear Editor,

    The paper by Karaolis and colleagues [1] assessed the feasibility of implementing WHO guidelines for inpatient care of severely malnourished children. The authors found that most but not all of the components of the guidelines could be implemented. Previously, we and others [2,3] also found difficulties in severe malnutrition management in under-resourced African hospitals, which we think is worth s...

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    Conflict of Interest:
    None declared.