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Deworming in a SAM child below 1 year of age

This question was posted the Management of wasting/acute malnutrition forum area and has 1 replies.

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Charulatha Banerjee

Terre des hommes Foundation

Normal user

16 Jul 2013, 06:28

Dear all, De worming of children is done only after 1 year routinely. As per all available guidelines the same is recommended even for a child with SAM. So a child below 1 year of age admitted to an inpatient facility is not given an anti helminthic. Are there any exceptions to this and can it be administered in a situation where we expect a high worm load owing to very poor sanitation practice? Any experiences and advice on this will be very useful.

chantal a

Normal user

16 Jul 2013, 15:25

HI, Worm medicine is only given to children older than one year, considering children start walking at this age and have less chance to be infected. The other reason I know is because it's much more easier for the child to fight this pathology when he is in OTP after fighting malnutrition in-patient where all of his body need to recovery slowly and normally all the OTP give the medication for deworming. So if you OTP I think you should wait, but if you don't have OTP and you are sure child are infected, I don't know if we can give automatically. C.

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