Severe Pneumonia
Lower chest wall indrawing
- Problems in recognizing children who should be urgently referred
- “Retractions” suggested as indication of severe disease but multiple definitions existed
- Studies found lower chest wall indrawing best identified children who required assessment or admission
- must be definite, present all the time
Recognition
- Urgently refer children with Cough or difficult breathing AND
- Lower chest wall indrawing OR
- Stridor when calm OR
- Any general danger sign
Clinical signs
+ = always present += Present sometimes
A combination of clinical signs indicates need for referral and further assessment
Identification of potentially life threatening diseases must be made by a proper physical examination at a higher level facility
Antibiotics
- Invasive bacterial organisms warrant injectable antibiotics
- Delivered to the blood and/or meninges
- Incessant vomiting or shock prohibit oral antibiotics
- Penicillin –IM
- Inexpensive
- Widely available
- Limited organisms treated
- Poor CSF penetration
1 comment:
As a sign of gratitude for how my son was saved from Lower Respiratory Infections , i decided to reach out to those still suffering from this.
My son suffered Lower Respiratory Infections in the year 2013 and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, he always complain of weakness of the body, and he always have difficulty falling asleep . we tried various therapies prescribed by our neurologist but none could cure him. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar body problem, and he left the contact of the doctor who had the cure to Lower Respiratory Infections . I never imagined Lower Respiratory Infections has a natural cure not until i contacted him and he assured me my son will be fine. I got the herbal medication he recommended and my son used it and in one months time he was fully okay even up till this moment he is so full of life.now i believe that natural medicine are gift from god, Lower Respiratory Infections has a cure and it is a herbal cure contact the doctor for more info on drwilliams098765@gmail.com on how to get the medication. Thanks for reading my story
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