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1. A few symptomes and syndromes
A d m issio n and d ischarge criteria, as a ro ugh guid e, are:
– A d m issio n criteria: 1
A d o lescents: W / H acco rd ing to NC H S -C D C - W H O 1 9 8 2 reference table
o r bilateral
lo wer lim b o ed em a (G rad e 3 o r m o re, having exclud ed o ther causes o f o ed em a).
A d ults: M U A C < 1 6 0 m m o r bilateral lo wer lim b o ed em a o r M U A C < 1 8 5
m m in
p o o r general co nd itio n (fo r exam p le, inability to stand , evid ent d ehy d ratio n).
A s in child ren, any m alno urished p atient p resenting with significant co m p licatio ns
sho uld initially be ho sp italised , regard less o f the anthro p o m etric criteria abo ve.
– D ischarge criteria: o ver ad m issio n weight and o ed em a belo w G rad e 2
A d o lescents: as in child ren.
A d ults: weight gain o f 1 0 -1 5 %
and go o d general co nd itio n.
Nutritio nal treatm ent fo llo ws the sam e p rincip les as in child ren, but the calo rie intak e
in relatio n to bo d y weight is lo wer.
R o utine treatm ent is sim ilar to that in child ren, with the fo llo wing excep tio ns:
– M easles vaccine is o nly ad m inistered to ad o lescents (up to age 1 5 ).
– A ntibio tics are no t ro utinely given, but infectio ns sho uld be co nsid ered , and treated
o r exclud ed , in the assessm ent o f the p atient.
45
A d m issio n and d ischarge criteria, as a ro ugh guid e, are:
– A d m issio n criteria: 1
A d o lescents: W / H acco rd ing to NC H S -C D C - W H O 1 9 8 2 reference table
o r bilateral
lo wer lim b o ed em a (G rad e 3 o r m o re, having exclud ed o ther causes o f o ed em a).
A d ults: M U A C < 1 6 0 m m o r bilateral lo wer lim b o ed em a o r M U A C < 1 8 5
m m in
p o o r general co nd itio n (fo r exam p le, inability to stand , evid ent d ehy d ratio n).
A s in child ren, any m alno urished p atient p resenting with significant co m p licatio ns
sho uld initially be ho sp italised , regard less o f the anthro p o m etric criteria abo ve.
– D ischarge criteria: o ver ad m issio n weight and o ed em a belo w G rad e 2
A d o lescents: as in child ren.
A d ults: weight gain o f 1 0 -1 5 %
and go o d general co nd itio n.
Nutritio nal treatm ent fo llo ws the sam e p rincip les as in child ren, but the calo rie intak e
in relatio n to bo d y weight is lo wer.
R o utine treatm ent is sim ilar to that in child ren, with the fo llo wing excep tio ns:
– M easles vaccine is o nly ad m inistered to ad o lescents (up to age 1 5 ).
– A ntibio tics are no t ro utinely given, but infectio ns sho uld be co nsid ered , and treated
o r exclud ed , in the assessm ent o f the p atient.
45
