CONTROL OF ACUTE RESPIRATORY TRACT INFECTIONS

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CONTROL OF ACUTE RESPIRATORY TRACT INFECTIONS

• VIPIN KUMAR

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• History taking
• Physical examination

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History taking

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

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PHYSICAL EXAMINATION

• No of breaths/min
• Chest indrawing
• Stridor
• Wheeze
• Drowsiness
• Malnutrition
• Fever
• Cyanosis

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Fast breathing present , if
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CLASSIFICATION OF ILLNESS

• Child aged 2 months 5 yrs
• Very severe disease
• Severe pneumonia
• Pneumonia
• No pneumonia

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

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Danger signs!! Child aged 2mths 5 yrs
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Danger signs !!(Young infants)
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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
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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
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Pneumonia
Cotrimoxazole
48 hrs
Improves
Worsens
Same
Continue Rx for the next 3 days
REFER immediately
Re-assess after 48 hrs
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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

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DOES NOT require any antibiotic treatment
No pneumonia in children
Advice to the mother
Symptomatic treatment and care at home
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PREVENTION OF ARI

• Improvement in living condition
• Better nutrition
• Reduction of smoke pollution
• Immunization
• Health Education

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THANK YOU