|
|
|
|
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI) (WHO - 2005) |
IMCI was introduced in 1998 and various technical updates have been issued ever since with latest being in 2005.
Updates
| |
1. |
|
Antibiotic treatment of non-severe and severe pneumonia (2 mths - 5 yrs):-
- Non severe pneumonia - 3 days of oral amoxicillin or cotrimoxazole (15 mg/kg/dose bd) (4 mg of trimethoprim/kg/dose bd).
- Severe pneumonia - Inj Ampicillin + Inj Gentamicin.
- Children with wheeze and fast breething and/or lower chest indrawing should be given a trial of rapid acting inhaled bronchodilator, before they are classified as having pneumonia and prescribed antibiotics.
|
| |
2. |
|
Diarrhea:- Low osmolarity ORS should be used for management of dehydration in all children. Ciprofloxacin is the most appropriate drug for treatment of bloody diarrhea. All children with diarrhea should be given zinc supplementation for 10- 14 days.
|
| |
3. |
|
Fever/Malaria:- As per anti-malarial drug policy in country. However artemisin- based combination therapy is advantageous and should be combined with longer half life antimalarial.
|
| |
4. |
|
Ear Infections:- Oral amoxicillin is better choice for management of acute ear infections. Chronic ear infection should be treated with topical quinolone ear drops for at least 2 weeks in addition to dry ear wicking.
|
| |
5. |
|
Infant Feeding:-
- Exclusive breast feeding for 6 months.
- In HIV infected mothers, if replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breast feeding is recommended.
|
| |
6. |
|
Helminthiasis:-
- Albendazole and Mebendazole is safe to use in children 12 months or older.
|
Further Reading
Technical updates of the guidelines on the Integrated Management of Childhood Illness (IMCI). World Health Organization, Geneva 2005.
|
|
|
|
|
|
|
|
Health Solutions from our sponsors |
|
Copyright© 2000-2008 All rights reserved with Pediatric Oncall
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitue an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
|
