Iron Deficiency Anaemia in Indigenous Children — RACP Paediatrics MCQ

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ModerateCommunity & Indigenous HealthIron Deficiency Anaemia in Indigenous ChildrenRACP Paediatrics

A 2-year-old Aboriginal child in a remote community has a Hb of 80 g/L, MCV 58 fL, and ferritin of 4 mcg/L. She has multiple skin sores and scabies. Stool microscopy shows hookworm ova. What is the most comprehensive management plan?

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Correct answer: A — Oral iron, albendazole for hookworm, and treatment of skin sores and scabies

Iron deficiency anaemia in Aboriginal children in remote communities is often multifactorial: dietary deficiency, hookworm infection (intestinal blood loss), and chronic infection from skin sores contribute. Comprehensive management addresses all contributors: oral iron supplementation, antiparasitic treatment (albendazole), and treatment of skin infections (scabies with topical permethrin, impetigo with antibiotics). Dietary improvement and environmental health measures are also essential.

Reference: NHMRC – 2024 – Recommendations for Clinical Care in Remote Aboriginal Communities