guidelines for the integrated management of severe acute malnutrition
guidelines for the integrated management of severe acute malnutrition
guidelines for the integrated management of severe acute malnutrition
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ACF-In Guidelines <strong>for</strong> <strong>the</strong> <strong>integrated</strong> <strong>management</strong> <strong>of</strong> SAM Annexes 171<br />
Annexe 12: Ready to Use Therapeutic Food (RUTF) NUTRITIONAL INFORMATION<br />
Severely malnourished children or adults require specialised <strong>the</strong>rapeutic food to recover, such as<br />
Formula 100 (F100) and Formula 75 (F75), according to <strong>the</strong> World Health Organisation protocol<br />
recommendations. Ready to use <strong>the</strong>rapeutic food (RUTF) is an integral part <strong>of</strong> outpatient programmes<br />
as it allows children/adults to be treated at home ra<strong>the</strong>r than by milks in a feeding centre. RUTF is an<br />
energy dense mineral/vitamin enriched food, which is equivalent to Formula 100 (F100).<br />
There are currently two commercial types <strong>of</strong> RUTF: Plumpy’nut ® and BP 100 ® and several countries are<br />
producing <strong>the</strong>ir own RUTF using recipes that produce products that are both nutritionally <strong>the</strong> same as<br />
F100, but have also been shown to be physiologically similar to both F100 and <strong>the</strong> commercial RUTFs.<br />
Plumpy’nut®<br />
Plumpy Nut is a ready-to-eat <strong>the</strong>rapeutic spread, presented in individual sachets. It is a paste <strong>of</strong><br />
groundnut composed <strong>of</strong> vegetable fat, peanut butter, skimmed milk powder, lactoserum, maltodextrin,<br />
sugar, mineral and vitamin complex.<br />
Instructions <strong>for</strong> use: Clean drinking water must be made available to children during consumption <strong>of</strong><br />
ready-to-eat <strong>the</strong>rapeutic spread. The product should only be given to children who can express <strong>the</strong>ir<br />
thirst.<br />
CONTRA-INDICATED FOR CHILDREN WHO ARE ALLERGIC TO COWS MILK, PROTEINS OR PEANUTS AND<br />
ASTHMATIC PEOPLE (RISK OF ALLERGY).<br />
Recommendations <strong>for</strong> use: In <strong>the</strong> <strong>management</strong> <strong>of</strong> <strong>severe</strong> <strong>acute</strong> <strong>malnutrition</strong> in <strong>the</strong>rapeutic feeding, it is<br />
recommended to use <strong>the</strong> product in phase 2 (two) in <strong>the</strong> dietetic <strong>management</strong> <strong>of</strong> <strong>severe</strong> <strong>acute</strong><br />
<strong>malnutrition</strong>. In phase 1 (one) use milk based diet (F75).<br />
Storage: Plumpy Nut has a shelf life <strong>of</strong> 24 months from manufacturing date. Keep stored in a cool and<br />
dry place.<br />
Packaging: Plumpy Nut is presented in sachets <strong>of</strong> 92 g. Each carton (around 15.1 kg) contains 150<br />
sachets. One sachet = 92 g = 500 Kcal.<br />
Mean Nutritional Value <strong>of</strong> plumpy’nut®
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