The Sick young infant -- Chn

Very severe disease

• Pink

Any of the following:

— Not feeding well or convulsions

— Fast breathing 60 bpm or more

—Severe chest indrawing

Local bacterial infection

• Yellow

— Umbilicus red or draining pus or skin pustules

• Give oral antibiotic

• Teach mother to treat local infections at home

• Advise the mother to give home care for the young infant

• Assess and counsel mother on care and development

• Follow up in 2 days

Severe jaundice

• Pink

— Any jaundice if age is less than 24 hours or yellow palms and soles at any age

• Refer urgently to hospital

• Treat to prevent low blood sugar

• Advise how to keep the infant warm on the way to the hospital

Jaundice

• Yellow

Jaundice appearing after 24 hours of age and palms and soles NOT yellow

• Advice the mother to give home care for young infant

• Advise to return immediately if palms and soles appear yellow

• If the young infant is older than 14 days, refer for assessment

• Assess and counsel the mother on care for development

• Follow up in 1 day

Severe dehydration

• Pink

Two of any of the following:

— Movement only when stimulated or no movement at all, sunken eyes, and skin pinch goes back very slowly

• If the infant does not have VERY SEVERE DISEASE, nor DYSENTERY, give fluid for severe dehydration or PLAN C

• If the infant also has a VERE SEVERE DISEASE, SEVERE JAUNDICE OR DYSENTERY: Refer urgently to hospital, with mother giving frequent sips of ORS on the way

• Advise to continue breastfeeding

• Keep the infant warm

Some dehydration

• Yellow

— Two of the following signs: restless or irritable, sunken eyes, skin pinch goes back slowly

• Give some fluid for some dehydration (PLAN B) 

• If the infant also has a VERY SEVERE DISEASE, SEVERE JAUNDICE OR DYSENTERY:

• Refer urgently to hospital, with mother giving frequent sips of ORS on the way

• Advise to continue breastfeeding

• Assess and counsel the mother on care for development 

No dehydration

• Green

— Not enough signs to classify as some or severe dehydration

• Give fluid to treat diarrhea at home(PLAN A)

• Assess and counsel the mother n care for development

Severe, Persistent diarrhea

• Pink

— Diarrhea lasting for more than 14 days

• If the young infant has dehydration, treat dehydration before referral, unless infant also has VERY SEVERE DISEASE

• Refer to hospital

Dysentery

• Pink

— Blood in the stool

• Refer urgently to the hospital, with mother giving frequent sips of ORS on the way

Feeding problem or lo weight for age

• Yellow

— Not well attached to the breast or not sucking effectively or less than 8 breakfast in 24 hours or receives other foods or drinks or low weight for age thrush 

• Not able to attached well or not sucking effectively

• Feeding is less than 8 times a day

• Giving other food and drinks, Not breastfeeding at all.

• Advise the mother how to feed and keep the low weight infant warm at home

• With thrush. Follow up any feeding problem or thrush in 2 days

• Follow up low weight for age in 14 days

• Assess and counsel the mother on care for development