Integrated management of neonatal and childhood illness

Give first dose of IV or IM chloramphenicol (if not possible

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module 5

Give first dose of IV or IM chloramphenicol (if not possible,
give oral amoxycillin).

Treat the child to prevent low blood sugar.
Give one dose of paracetamol in clinic for high fever ( temp
38.5°C or above.
Refer URGENTLY to hospital
#
.

• NO runny nose and NO measles and NO other cause of fever.

MALARIA
Give oral antimalarials for LOW malaria risk area after making
smear.

Give one dose of paracetamol in clinic for high fever (temp.
38.5°C or above) .
Advise mother when to return immediately.

Follow-up in 2 days if fever persists. If fever is present everyday for more than 7 days, refer for assessment.

• Runny nose PRESENT or
• Measles PRESENT or
• Other cause of fever PRESENT.

FEVER -MALARIA
UNLIKELY
Give one dose of paracetamol in clinic for high fever (temp.
38.5°C or above.
Advise mother when to return immediately. Followup in 2 days if fever persists. If fever is present everyday for more than 7 days, refer for assessment.

37
Treatment

Give oral antimalarials for low malaria risk areas according to the National Anti-Malaria Program policy. If smear is positive for
P.falciparum with Choloroquine and Primaquine on day 1 and
Chloroquine alone on Day 2 and Day 3.
-
If smear is positive for
P.vivax give Chloroquine for 3 days along with Primaquine for 14 days. If smear is
negative or not available, give chloroquine for 3 days. Give one dose of paracetamol in clinic for high fever (temperature Cor above.

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