Integrated management of neonatal and childhood illness

Also give one dose of paracetamol if the child is in pain. ACUTE EAR INFECTION

Download 0.61 Mb.

View original pdf

Page	42/61
Date	16.11.2022
Size	0.61 Mb.
	#59966

1 ... 38 39 40 41 42 43 44 45 ... 61

module 5

Also give one dose of paracetamol if the child is in pain.
ACUTE EAR INFECTION If you see pus draining from the ear and discharge has been present for less than two weeks, or if there is ear pain, classify the child's illness as ACUTE EAR INFECTION.
Treatment A child with an ACUTE EAR INFECTION should be given oral amoxycillin for 5 days. If amoxycillin is not available give cotrimoxazole for 5 days. Antibiotics for treating pneumonia are effective against the bacteria that cause most ear infections. Give paracetamol to relieve the ear pain (or high fever. If pus is draining from the ear, dry the ear by wicking.
CHRONIC EAR INFECTION
If you see pus draining from the ear and discharge has been present for two weeks or more, classify the child's illness as CHRONIC EAR INFECTION.

Treatment Most bacteria that cause CHRONIC EAR INFECTION are different from those which cause acute ear infections. For this reason, oral antibiotics are not usually effective against chronic infections. Do not give repeated courses of antibiotics fora draining ear. The most important and effective treatment for CHRONIC EAR INFECTION is to keep the ear dry by wicking. Teach the mother how to dry the ear by wicking. Also give topical quinolone ear drops for two weeks.
NO EAR INFECTION If there is no ear pain and no pus is seen draining from the ear, the child's illness is classified as NO EAR INFECTION. The child needs no additional treatment.
***

49

7.0 CHECK FOR MALNUTRITION
Check all sick children for signs suggesting malnutrition. A mother may bring her child to clinic because the child has an acute illness. The child may not have specific complaints that point to malnutrition. A sick child can be malnourished, but the doctor or the child's family may not notice the problem. A child with malnutrition has a higher risk of many types of disease and death. Even children with mild and moderate malnutrition have an increased risk of death. Identifying children with malnutrition and treating them can help prevent many severe diseases and death. Some malnutrition cases can be treated at home. Severe cases need referral to hospital for special feeding or specific treatment of a disease contributing to malnutrition (such as tuberculosis.

Download 0.61 Mb.

Share with your friends:

1 ... 38 39 40 41 42 43 44 45 ... 61