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Treatment of SAM with complications using diluted plumpy nut instead of F75 and F100.

This question was posted the Management of wasting/acute malnutrition forum area and has 3 replies.

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Anonymous 3772

Normal user

21 Jun 2016, 08:16

Can anyone share their experience of using diluted plumpy nut for the treatment of SAM with complications instead of usinf F75 and F100?

Pascale Delchevalerie

Normal user

10 Jul 2016, 20:20

For phase 1 treatment, I wouldn't recommend diluted RUTF to replace F75 or F100, as it contains iron wich is not recommanded in the first days of treatment for complicated malnutrition (iron is not well absorbed because of low transferrine level and presence of free iron in the blood is toxic and can also increase development of bacterial infection).


Dr Acakpo Horace

Doctor in Regional Hospital of Man (Ivory coast)

Normal user

11 Jul 2016, 04:45

we used to give diluted Plumpy nut during the F75 milk shortage. I wouldn't recommend it for Phase One ( for Iron, hygiene....) that the part of water is not known in the dilution. Anyway, recombined F75 milk with local ingredients gave us best clinical, nutritional and social results.

Anonymous 2888

ACF Mogadishu, capacity building officer H and N

Normal user

11 Jul 2016, 06:55

As we know the main aim of phase one treatment is to solve medical problems and metabolic disturbance to stabilize patient's medical condition so F75 plays a role in these stabilization activities. During this phase there is no need for more weight gain, so plumpy nut can act as F100 but not F75. This means it can't be used for SAM cases with complications during phase one.

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