Follow the arrows. If the answer is “yes” go across. If “no” go down.
NB: If possible, observe the patient at least six hours after rehydration to be sure the mother can maintain hydration giving ORS solution by mouth. If the patient is above two years and there is cholera in your area, give an appropriate oral antibiotic after the patient is alert.
Use of drugs for children with diarrhoea
• ANTIBIOTICS should ONLY be used for dysentery and for suspected cholera cases with severe dehydration. Otherwise they are ineffective and should NOT be given.
• ANTIPARASITIC drugs should ONLY be used for:
- Amoebiasis, after antibiotic treatment of bloody diarrhoea for shigella has failed or trophozoites of E. Histolytica containing red blood cells are seen in the faeces.
- Giardiasis, when diarrhoea has lasted at least 14 days and cysts or trophozoites of Giardia are seen in faeces or small bowel fluid.
• ANTIDIARRHOEAL DRUGS and ANTIEMETICS should NEVER be used. None has proven value and some are dangerous.