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Treatment of HIV positive children with moderate acute malnutrition

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 4 replies. You can also reply via email – be sure to leave the subject unchanged.

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Tanya Khara Latimore

nutrition consultant

Normal user

23 Feb 2009, 20:20

Given the increasing use of RUTF to treat HIV positive children with moderate acute malnutrition in countries such as Malawi. Have there been any studies published on the effectiveness of this approach compared to other products/treatment regimes?

Osama A. Salih

Professor at Ahfad University for Women

Normal user

24 Feb 2009, 21:47

I wanted to ask the same question, we are planning to do a research on using RUTF for sever and moderately malnourished HIV positive children in Sudan. We would appreciate very much the help of our colleagues in Malawi or any other places, specifically on the methodology used. we are also thinking of including malnourished HIV positive adults, any suggestion on how to calculate the amount of the RUTF according to the weight of the malnourished HIV positive adult?

Michael Golden

Normal user

24 Feb 2009, 22:17

In terms of adults with sever wasting/ oedema (SAM), I can send the table that we use to cover all patients from 2kg to 60kg for RUTF if that would be helpful.

Osama A. Salih

Professor at Ahfad University for Women

Normal user

24 Feb 2009, 22:51

Thanks Michael, that would help very much

Michael Golden

Normal user

24 Feb 2009, 23:32

you may have to reformat the table - the first col is starting and ending weight of the weight categories. The second and third cols are grams of RUTF paste per day and per week, the fourth and fifth cols are plumpynut sachets (96g) per day and then per week, the sixth and seventh cols are bars of BP100 per day and per week. With the cutting and pasting the table's fomatting has all gone and there are no tabs of spacing to allow it to allign properly. If you want it by email then send a message to mike@pollgorm.net and I will send the tables that way.
weight (kg) RUTF Paste PLUMPY'NUT® BP100®
Grams/d Gram/wk sachet/day sachet/wk bars/day bars/week
3.0-3.4 105 750 1¼ 8 2 14
3.5-4.9 130 900 1½ 10 2½ 17½
5.0-6.9 200 1400 2 15 4 28
7.0-9.9 260 1800 3 20 5 35
10.0-14.9 400 2800 4 30 7 49
15.0-19.9 450 3200 5 35 9 63
20.0-29.9 500 3500 6 40 10 70
30.0-39.9 650 4500 7 50 12 84
40-60 700 5000 8 55 14 98

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