Anaemia, iron deficiency and susceptibility to infections

Femke A M Jonker1, Michaël Boele van Hensbroek1

  • 1Global Child Health Group, Department of Global Health, Emma Children's Hospital/AMC, University of Amsterdam, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.

The Journal of Infection
|September 30, 2014
PubMed

Insights

Iron deficiency anaemia and infections are leading causes of child mortality globally. Iron supplementation aids anaemia but may increase infection risk, posing a treatment dilemma for children.

Area of Science:

  • Pediatrics
  • Nutritional Science
  • Infectious Diseases

Background:

  • Iron deficiency anaemia and infections are significant global causes of childhood illness and death, particularly in resource-limited areas.
  • These conditions often coexist due to shared causes and can interact, complicating treatment.
  • Iron is crucial for red blood cell production and immune function, but also supports pathogen growth.

Purpose of the Study:

  • To explore the complex relationship between iron deficiency anaemia, childhood infections, and the therapeutic use of iron.
  • To highlight the treatment dilemma posed by iron supplementation in vulnerable children.

Main Methods:

  • Review of existing literature on iron metabolism, anaemia, immune function, and infectious diseases in children.
  • Analysis of the dual role of iron in host defense and pathogen proliferation.

Main Results:

  • Iron deficiency anaemia is a major contributor to childhood morbidity and mortality worldwide.
  • Iron supplementation is essential for treating anaemia and supporting immune health.
  • However, iron administration can exacerbate certain infections, such as non-typhoid salmonella, creating a significant clinical challenge.

Conclusions:

  • The management of iron deficiency anaemia in children requires careful consideration of the potential increased risk of infection.
  • Further research is needed to balance the benefits of iron therapy with the risks of infection in resource-limited settings.

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