Hi,
The National guidelines in Afghanistan recommend:
RUTF is required in 200 Kcal/kg/day, and the matter of 92 gr is probably due the fact to make 500 Kcal/sachet. Below is the table for easy reference where you don’t need to calculate it for each child.
TABLE 14 PRESCRIPTION OF RUTF FOR CHILDREN AGED 6 TO 59 MONTHS WITH SAM
Weight of the child, kg - Packets per week - Packets per day
3.5-3.9 11 1.5
4.0-4.9 14 2
5.0-6.9 18 2.5
7.0-8.4 21 3
8.5-9.4 25 3.5
9.5-10.4 28 4
10.5-11.9 32 4.5
Greater than 12kg 35 5
Children’s treatment as inpatient should be done in three phases:
Stabilization phase:
• Treatment should be done with F-75 which produce 75 Kcal/100 ml
• The energy requirement in this phase 100 Kcal/kg/day
• For 100 Kcal 130 ml milk is required
• The preferred feeding time is every 3 hours means 8 feeds/ day
• If a child is, for example, 7 kg the simple calculation would be as follow:
7*130 = 910 ml/day, then 910/8 = 113.75 ml/feed
Transition phase:
• Treatment should be done with F-100 which produce 100 Kcal/100 ml
• The energy requirement in this phase 130 Kcal/kg/day
• For 130 Kcal 130 ml milk is required
• The preferred feeding time is every 3 hours means 8 feeds/ day
• If a child is, for example, 8 kg the simple calculation would be as follow:
8*130 = 1040 ml/day, then 1040/8 = 130 ml/feed
Rehabilitation phase:
• Treatment should be done with F-100 which produce 100 Kcal/100 ml
• The energy requirement in this phase 200 Kcal/kg/day
• For 200 Kcal 200 ml milk is required
• The preferred feeding time is every 4 hours means 6 feeds/ day
• If a child is, for example, 8 kg the simple calculation would be as follow:
8*200 = 1600 ml/day, then 1600/6 = 266.66 ml/feed