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Extra info for Clinical Guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries
Sample text
Azithromycin treatment has the advantage of being short. erythromycin PO for 10 days Children: 30 to 50 mg/kg/day in 2 to 3 divided doses Adults: 2 to 3 g/day in 2 to 3 divided doses or azithromycin PO for 3 days Children: 20 mg/kg once daily Adults: 500 mg once daily – Gonococcal or syphilitic pharyngitis: same treatment as for genital gonorrhoea and syphilis – Diphtherial pharyngitis: see diphtheria, page 55 – Vincent tonsillitis: penicillin V or erythromycin as above – Peritonsillar abscess: refer for surgical drainage 54 2.
Chronic and persistent diarrhoea does not require rapid rehydration. The rehydration protocol differs from that used in non-malnourished: • In the absence of hypovolaemic shock, rehydration is conducted by the oral route (if necessary by nasogastric tube), using specific oral rehydration solutions 6 ( ReSoMal ), containing less sodium and more potassium than standard solutions. R e S o M a l i s a d m i n i s t e re d u n d e r s t r i c t m e d i c a l s u p e r v i s i o n ( c l i n i c a l evaluation and weight every hour).
Monitor the weight of the child during the course of the illness, and consider food supplements for several weeks after recovery. – Antibiotic therapy: Antibiotic treatment is indicated in the first 3 weeks after onset of cough. Infectivity is virtually nil after 5 days of antibiotic treatment. Alernative First line Antibiotic azithromycin PO once daily, for 5 days erythromycin PO in 3 divided doses, for 7 days cotrimoxazole PO in 2 divided doses, for 14 days Child Adult 0-5 months: D1 500 mg 10 mg/kg/day D2-D5 250 mg/day ≥ 6 months: D1 10 mg/kg (max 500 mg) D2-D5 5 mg/kg/d (max 250 mg/d) 50 mg/kg/day (avoid in infant < 1 month of age) 1 g/day 40 mg/kg/day SMX 1600 mg/day SMX + 8 mg/kg/day TMP + 320 mg/day TMP (avoid in infant < 1 month of age, and last month of pregnancy) – For hospitalised children: • Place the child in a semi-reclining position (± 30°).