Integrated management of neonatal and childhood illness



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module 5



VERY SEVERE
FEBRILE
DISEASE

Give first dose of IM quinine after RDT / smear.
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. Cor above.
Refer URGENTLY to hospital.

• Fever (by history or feels hot or temperature Cor above.




MALARIA



Give oral antimalarials for HIGH malaria risk area after RDT/
smear
Give one dose of paracetamol in clinic for high fever
(temp. Cor above)
Advise mother when to return immediately. Followup in 2 days. If fever is present everyday for more than 7 days, refer for assessment


Give the child an injection of quinine for malaria after RDT/ making a blood smear. Also give first dose of injectable chloramphenicol (If not possible give oral amoxycillin) for meningitis or other severe bacterial infection. You should also treat the child to prevent low blood sugar. Also give paracetamol if there is a high fever.

MALARIA (High Malaria Risk) If a general danger signor stiff neck is not present, look at the yellow row. Because the child has a fever (by history, feels hot, or temperature Cor above) in a high malaria risk area, classify the child as having MALARIA. When the risk of malaria is high, the chance is also high that the child's fever is due to malaria.
Treatment
Give Oral antimalarials for high malaria risk areas according to the National Anti-Malaria Program policy. If smear or RDT is positive for
P.falciparum give Artesunate, Sulpha- pyrimethamine, and Primaquine on day 1; and Artesunate on Day 2 and Day 3.
-
If smear is positive for

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