Vitamin A supplementation in children with respiratory infections
Pneumonia is a severe form of acute lower respiratory tract infection and is the leading cause of death among children under 5 years of age worldwide. Vitamin A deficiency is also a public health problem in many parts of the world, particularly Africa and South-East Asia. Vitamin A deficiency can cause visual impairment in the form of night blindness and may increase the risk of illness and death from childhood infections, including measles and those causing diarrhoea.
Vitamin A is essential to help combat infections in childhood and clinical trials have demonstrated that vitamin A supplementation reduces the severity of respiratory infections and mortality in children with measles. However results from studies in children without measles suggest that vitamin A has little protective effect except in children suffering from acute or chronic malnutrition, where some benefit of vitamin A supplementation has been observed.
WHO recommendations
Further research is needed before specific recommendations can be made.
WHO documents
GRC-approved guidelines
Status: not currently available
Evidence
Related Cochrane reviews
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Vitamin A for non-measles pneumonia in children
Wu T, Ni J, Wei J.
Cochrane Database of Systematic Reviews. 2005; Issue 3. Art. No.: CD003700. -
Vitamin A for preventing acute lower respiratory tract infections in children up to seven years of age
Chen H, Zhuo Q, Yuan W, Wang J, Wu T.
Cochrane Database of Systematic Reviews. 2008; Issue 1. Art. No.: CD006090.
Other related systematic reviews
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Vitamin A for acute respiratory infection in developing countries: a meta-analysis.
Brown N, Roberts C.
Acta Paediatrica. 2004; 93(11):1437–1442.