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Extra resources for Clinical Guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries
9% sodium chloride, using a syringe) only if the tympanic membrane can be fully visualised and is intact (no perforation). Otherwise, ear irrigation is contra-indicated. Acute otitis media (AOM) Acute inflammation of the middle ear, due to viral or bacterial infection, very common in children under 3 years, but uncommon in adults. The principal causative organisms of bacterial otitis media are Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis and in older children, Streptococcus pyogenes.
38 1. 4 (ml) x 15 (drops) = 21 drops/minute Monitor vital signs (pulse, blood pressure, respiratory rate, temperature) and watch for clinical signs of transfusion reactions. In some cases, particularly in children suffering from severe malaria, anaemia may cause heart failure which may be decompensated by transfusion. If signs of hypervolaemia are seen: furosemide slow, direct IV: 1 mg/kg without exceeding 20 mg/kg. – If present, treat any pulmonary or parasitic infection (malaria). 40 mg) PO Pregnant woman: 60 to 120 mg once daily or in 2 divided doses = 1 to 2 tab/day • Nutritional supplements if the basic diet is insufficient – For patients with sickle cell disease: long term treatment with folic acid PO: 5 mg/day.
The majority of cases are of viral origin and do not require antibiotic treatment. Group A streptococcus is the main bacterial cause, and mainly affects children age 3 to 14 years. Acute rheumatic fever, a serious late complication of streptococcal pharyngitis, is common in developing countries, and can be prevented with antibiotic therapy. One of the main objectives in assessing acute pharyngitis is to identify patients requiring antibiotic treatment. Clinical features – Features common to all types of pharyngitis: Throat pain and dysphagia (difficulty swallowing), with or without fever.
Clinical Guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries