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Substitute Plumpy'sup for Plumpy'nut in stock out

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 3 replies. You can also reply via email – be sure to leave the subject unchanged.

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Anonymous 94

Normal user

13 Mar 2014, 12:35

Is it acceptable to use Plumpy'sup in place of Plumpy'nut when it is not available? What are the considerations?

This would take place in a stabilization unit for children with SAM with medical complications. We will be out of stock for a few weeks but do have some Plumpy'sup available.

Anne Walsh

Normal user

12 May 2014, 07:08

It will not replace Plumpy’nut as it does not meet the specifications for treatment of SAM. If your stock out is only for a short period and the children are inpatients then it would be best to use F100. But in the absence of F100 then yes, this may be your best option as a temporary measure specific to children who are in the stabilisation centre.
Apologies for the delay in responding.

Anonymous 94

Normal user

12 May 2014, 12:21

Thank you for the response Anne. Would you be able to expand on why it doesn't meet the specifications? I recognize it's not ideal, but I have the specs for the Plumpy'sup we have in Haiti and it meets the macronutrient requirements and minimum micronutrient requirements for the treatment of SAM. I'm using the 2007 WHO Community-based Management of Severe Malnutrition guideline for my comparison. Is this out of date? Are there other considerations?

Anonymous 81

Public Health Nutritionist

Normal user

12 May 2014, 14:11

Similar question was posted on this forum. Looking at the nutritional composition of both products, they seems similar both in Macro and micronutrient. However, the key point to consider is the ingredients. Please look at the following links
http://www.en-net.org.uk/question/289.aspx.

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