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SAM & Vit.A

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 2 replies. You can also reply via email – be sure to leave the subject unchanged.

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ahmed salih

pediatrician

Normal user

13 May 2014, 15:10

I would like to know the update of use of Vit.A in SAM,when it be given in first day or later on,with many thanks.

Tamsin Walters

en-net moderator

Forum moderator

13 May 2014, 21:50

Dear Ahmed,

We had some previous discussion on this issue on en-net, which can be found here:

http://www.en-net.org.uk/question/171.aspx

However, since this was back in 2009, I am posting your question to see if there are any recent developments on this.

Best wishes,
Tamsin

André BRIEND

Frequent user

14 May 2014, 06:47

This issue is discussed in the 2013 WHO update on SAM management available at :

http://www.who.int/nutrition/publications/guidelines/updates_management_SAM_infantandchildren/en/

UPDATES ON THE MANAGEMENT OF SEVERE ACUTE MALNUTRITION IN INFANTS AND CHILDREN

The recommendations are as follows:

Children with severe acute malnutrition should receive the daily recommended nutrient
intake of vitamin A throughout the treatment period. Children with severe acute malnutrition
should be provided with about 5000 IU vitamin A daily, either as an integral part of therapeutic foods or as part of a multi-micronutrient formulation.

strong recommendation, low quality evidence

Children with severe acute malnutrition do not require a high dose of vitamin A as a
supplement if they are receiving F-75, F-1001 or ready-to-use therapeutic food that comply
with WHO specifications (and therefore already contain sufficient vitamin A), or vitamin A is
part of other daily supplements.

strong recommendation, low quality evidence

Children with severe acute malnutrition should be given a high dose of vitamin A (50 000 IU,
100 000 IU or 200 000 IU, depending on age) on admission, only if they are given therapeutic
foods that are not fortified as recommended in WHO specifications and vitamin A is not part
of other daily supplements.

strong recommendation, low quality evidence

See the WHO documents for more details.

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