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CONTROL OF ACUTE RESPIRATORY TRACT INFECTIONS

VIPIN KUMAR. CONTROL OF ACUTE RESPIRATORY TRACT INFECTIONS. History taking Physical examination. History taking. Age Duration of illness Has the young infant stopped feeding? Any other illness H/o irregular breathing. PHYSICAL EXAMINATION. No : of breaths/min Chest indrawing

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CONTROL OF ACUTE RESPIRATORY TRACT INFECTIONS

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  1. VIPIN KUMAR CONTROL OF ACUTE RESPIRATORY TRACT INFECTIONS

  2. History taking • Physical examination

  3. History taking • Age • Duration of illness • Has the young infant stopped feeding? • Any other illness • H/o irregular breathing

  4. PHYSICAL EXAMINATION • No : of breaths/min • Chest indrawing • Stridor • Wheeze • Drowsiness • Malnutrition • Fever • Cyanosis

  5. Fast breathing present , if

  6. CLASSIFICATION OF ILLNESS • Child aged 2 months – 5 yrs • Very severe disease • Severe pneumonia • Pneumonia • No pneumonia

  7. B . Illness of young infants (< 2 months) a. Very severe disease b . Severe pneumonia c . No pneumonia

  8. Danger signs!! Child aged 2mths– 5 yrs

  9. Danger signs !!(Young infants)

  10. TREATMENT2MONTHS– 5 YRS VERY SEVERE DISEASE Refer to the hospital immediately Intensive monitoring $ O2 therapy Chloramphenicol im DOC 48hrs No improvement Improvement + Shift to oral Chloramphenicol X 10 days Cloxacillin + Gentamicin i. m

  11. Severe pneumonia Benzyl Penicillin 50000 IU/Kg/dose 6 hrly i.m. Or Ampicillin 50mg/kg/dose 6 hrly i.m x48hrs Or Chloramphenicol 25mg / kg/dose 6 hrly i.m No improvement Improvement + Change the antibiotic for the next 48hrs Procaine Penicillin 50000IU/kg Once i.m. Or Ampicillin 50mg/kg/dose 6hrly oral Or Chloramphenicol 25mg /kg/dose 6hrly oral x 3 days Continue Rx orally Symptomatic Rx for fever ,wheezing… Monitor fluid and food intake Advice on home Mx

  12. Pneumonia Cotrimoxazole 48 hrs Improves Worsens Same Continue Rx for the next 3 days Re-assess after 48 hrs REFER immediately

  13. YOUNG INFANT Pneumonia Start Rx with cotrimoxazole by Health worker and refer If pneumonia suspected , Rx with Benzyl Penicillin • Keep the child warm and dry. • Breast feeding promoted

  14. DOES NOT require any antibiotic treatment No pneumonia in children Advice to the mother Symptomatic treatment and care at home

  15. PREVENTION OF ARI • Improvement in living condition • Better nutrition • Reduction of smoke pollution • Immunization • Health Education

  16. THANK YOU

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