Integrated management of neonatal and childhood illness
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- SEVERE COMPLICATED MEASLES
| FEVER-MALARIA UNLIKELY (Low Malaria Risk) If a general danger signor stiff neck or bulging fontanelle is not present, and Runny nose or Measles or Other cause of fever is PRESENT in a low malaria risk area, classify the child as having FEVER - MALARIA UNLIKELY. Treatment Give one dose of paracetamol in clinic for high fever (temperature Cor above, and 3 additional doses for use at home for high fever. If fever is present everyday for more than 7 days, refer for assessment. *** 38 5.3 CLASSIFY MEASLES A child who has the main symptom "fever" and measles now (or within the last 3 months) is classified both for fever and for measles. First you must classify the child's fever. Next you classify measles. If the child has no signs suggesting measles, or has not had measles within the last three months, do not classify measles. Ask about the next main symptom, ear problem. There are three possible classifications of measles SEVERE COMPLICATED MEASLES MEASLES WITH EYE OR MOUTH COMPLICATIONS MEASLES The table for classifying measles if present now or within the last 3 months is shown as follows SEVERE COMPLICATED MEASLES If the child has any general danger sign, clouding of cornea, or deep or extensive mouth ulcers, classify the child as having SEVERE COMPLICATED MEASLES. This child needs urgent treatment and referral to hospital. Children with measles may have other serious complications of measles. These include stridor in a calm child, severe pneumonia, severe dehydration, or severe malnutrition. You assess and classify these signs in other parts of the assessment. Their treatments are appropriate for the child with measles. Download 0.61 Mb. Share with your friends:
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