Give an antibiotic
• Give first dose of antibiotic in the clinic.
• Instruct mother on how to give the antibiotic for five days at home (or to return to clinic for daily procaine penicillin injection).
Age |
COTRIMOXAZOLE trimethoprim (TMP) + sulfamethoxazole (SMX) |
AMOXICILLIN |
PROCAINE PENICILLIN |
or |
2 times daily for 5 days |
3 times daily for 5 days |
1 time daily for 5 days |
Weight |
Adult tablet single strength (80 mg TMP + 400 mg SMX) |
Paediatric table (20 mg TMP + 100 mg SMX) |
Syrup(40 mg TMP + 200 mg SMX) |
Tablet 250 mg |
Syrup125 mg in 5 ml |
Intra- muscular injection |
Less than 2 months (<6 kg)* |
1/4** |
1** |
2.5 ml** |
1/4 |
2.5 ml |
200,000 units |
2 months up to 12 months (6-9 kg) |
1/2 |
2 |
5.0 ml |
1/2 |
5.0 ml |
400,000 units |
12 months up to 5 years (10-19 kg) |
1 |
3 |
7.5 ml |
1 |
10 ml |
800,000 units |
*Give oral antibiotic for five days at home if referral is not feasible.
**If the child is less than one month old, give 1/2 paediatric tablet or 1.25 ml syrup twice daily. Avoid cotrimoxazole in infants less than one month of age who are premature or jaundiced. Syrups and paediatric tablets are mentioned here for completeness sake knowing that they are not available in the kit.
Advise mother to give home care (for child age 2 months up to 5 years)
• Feed the child |
|
- feed the child during illness |
|
- increase feeding during illness |
|
- clear the nose it interferes with feeding |
• Increase fluids |
|
- offer the child extra to drink |
|
- increase breastfeeding |
|
- soothe the throat and relieve cough with a safe remedy |
• Most important: for the child classified as having no pneumonia, cough or cold, watch for the following signs and return quickly if they occur: |
|
- breathing becomes difficult
- breathing becomes fast
- child not able to drink
- child becomes sicker |
|
This child may have pneumonia |
Treat fever
• Fever is high(>39°C) |
• Fever is not high (38-39° C) |
In falciparum malarious area:
• any fever
or
• history of fever |
• Fever for more than 5 days |
• Give paracetamol |
• Advise mother to give more fluids |
• Give an antimalarial (or treat according to your national malaria programme recommendations) |
• Refer for assessment |
|
PARACETAMOL doses:
• every six hours
|
Age or Weight |
100 mg tablet |
500 mg tablet |
2 months up to 12 months (6-9 kg) |
1 |
1/4 |
12 months up to 3 years (10-14 kg) |
1 |
1/4 |
3 years up to 5 years (15-19 kg) |
1 1/2 |
1/2 |
|
Fever alone is not a reason to give an antibiotic, except in a young infant (age less than 2 months).
Give first dose of an antibiotic and refer urgently to hospital.
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