Basic Paediatric protocal 5th edition Edited Year 4

Basic Paediatric protocal 5th edition Edited Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDRIATICS -- REPUBLIC OF KENYA\n\n MINISTRY OF HEALTH\n\nBASIC PAEDIATRIC\nPROTOCOLS\n\n for ages up to 5 years\n\n November 2022\n5th Edition \nNOT FOR SALE \n\nNovember 2022\n5th Edition \n\n Acknowledgements The development of this 5th edition of the Basic Paediatric Protocol marks an important milestone in the efforts of the health sector to ensure that quality health services are provided to children under five years in Kenya. Its use is expected to contribute to provision of the highest quality of health care service delivery as envisaged in the Constitution of Kenya. The Ministry of Health expresses its gratitude to the members who made the original contribution to the protocol, and to the reviewers who have contributed to updating the guidelines in this protocol. The review was done through a long process of consultation, teamwork and information gathering. It was spear headed by Dr. Issak Bashir, Head of Department, Family Health and led by Dr. Caroline Mwangi, Head Division of Neonatal and Child Health in consultation with the various paediatric stakeholders. We wish to thank everyone who reviewed most of the evidence and made recommendations to this protocol. Special thanks goes to Elsa Odira, Program Manager, Division of Neonatal and Child Health, and the core review team, Prof. Grace Irimu (University of Nairobi), Prof. Ambrose Agweyu (KEMRI-Wellcome Trust), Dr. Joy Odhiambo (Kisumu), Dr. Maryanne Wachu (Bomet), Dr. Abdullahi Rashid (Wajir), Dr. Rachael Kanguha (Tharaka Nithi), Dr. Brenda Oeba (Nyamira), Dr. Emelda Manguro (Machakos), Alice Nyimbaye (Homabay), Jason Kiruja (KNH) and Beatrice Juma (Kisumu). The Ministry of Health appreciates the financial and technical support given by WHO, UNICEF, PATH, MCGL, Save the Children, CHAI, KPA/KEPRECON, NCPD, KMTC, NASCOP and other development partners towards the review of this protocol.\n\n Dr. Mulwa, A.M\nAg. Director Medical Services, Preventive and Promotive Health\nMinistry of Health\nNovember 2022\n\n 3 \n\nTable of Contents Foreword 5 Principles of Good Care 6 Specific Policies 7 Infection prevention and control (IPC) 8 Hand hygiene technique 9 Clinical audit and use of the protocols 10 Clinical Audit Protocols 11 List of Essential Equipment 12 Essential Drugs 14 Emergency drugs – Diazepam and Glucose 20 Anticonvulsant drug doses and administration 21 Intravenous/intramuscular antibiotic doses 22 Oral antibiotic doses 23 Initial Maintenance Fluids/Feeds 24 Triage of sick children 25 Infant/Child Basic Life Support 26 Infant/Child WITH SIGNS OF LIFE 27 Oxygen Therapy 28\n• Prescribing Oxygen 29 Use of Intra-osseous Lines 30 Treatment of Convulsions 31 Malaria 32\n• Malaria treatment doses 33\n• Anti-malarial drug doses 34 Meningitis 35 Diarrhoea / Gastroenteritis 36\n• Dehydration Management 37 Diabetic Ketoacidosis Management 38\n• Diabetes Ketoacidosis Management Fluid Therapy 40 Hypoglycemia in Child with Diabetes Mellitus 41 Measuring Nutritional Status 42 Complicated severe acute malnutrition (age 6 - 59 months) 43\n• Fluid Management in severe acute malnutrition with diarrhoea 44\n• Feeding Children with Severe Acute Malnutrition (age 6 - 59 months) 45 Pneumonia 46\n• Pneumonia Treatment Failure Definitions 47 Possible Asthma 48 Tuberculosis Diagnosis 49\n• Tuberculosis Treatment 50 HIV 52\n• HIV Testing Services (HTS) Recommendations for Different Populations and Settings 52\n• Presumptive Diagnosis of HIV in Children <18 Months while Awaiting DNA PCR 52\nResults\n• Algorithm for Early Infant Diagnosis of HIV 53\n• Opportunistic Infection Treatment 54\n• ARVs for Infant Prophylaxis 55 Neonatal Resuscitation 56 Essential Newborn Care 57 Newborn Feeding / Fluid requirements 59 Early Onset Neonatal Hypoglycemia 63 Neonatal Convulsions 64 Neonatal Jaundice 65\n• Normogram s 67 Apnoea of Prematurity (AOP) 73 Continuous Positive Airway Pressure (CPAP) 74 Neonatal Sepsis 75\n• Duration of treatment for neonatal sepsis 76\n• Newborn antibiotic doses 77 Weight Height Reference Tables 78 Emergency Estimation of Child’s Weight from their Age 97\n4 \n\nForeword This pocket book consists of guidelines on triage, assessment & classification of illness severity, criteria for admission, and inpatient management of the major causes of childhood morbidity & mortality such as pneumonia, diarrhea, malaria, severe acute malnutrition, meningitis, HIV, TB and neonatal conditions. The guidelines target management of the seriously ill newborn or child in the first 24 - 48 hours of arrival at a health facility. The booklet is aimed at doctors, clinical officers, nurses and other health workers responsible for the care of sick newborns and young children at all levels of care. It will also be useful for defining basic evidence-informed care to students in medical schools and other health training institutions. The guidelines presume health facilities that prov