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Monitoring of a child with severe acute malnutrition with bilateral oedema

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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Anonymous 1570

Nutritionist

Normal user

26 Sep 2012, 21:29

From our experience in the application of OTP, the staff usually ask about how to monitor a child who has been admitted with bilateral edema? Can we use 15% of the wieght on admission which is irrelevant with the presence of edema? Shall we discharged him\her when edema subsides? Also how we can calculate the amount of nuts Plumpy for him\her ?

Joseph Senesie

Normal user

1 Oct 2012, 14:40

Based on current practice in Sierra Leone, children admitted for nutritional oedema in the OTP are discharged when the oedema subsides (no oedema) and the child is clinically well. Calculation of plumpy nut is based on body weight and the period for which you want to provide supply for which should be indicated on a lookup table.

Anonymous 1570

Nutritionist

Normal user

2 Oct 2012, 06:59

Thanks so much Josephine i was confused because edema increases the weight of the child, yes will stick to discharge when edema subsides..

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