guidelines for the integrated management of severe acute malnutrition

ACF-In Guidelines for the integrated management of SAM Out-patient 46
Table 4: Dosage of Amoxicillin
Weight range Amoxicillin (50 – 100 mg/kg/d) - Dosage twice per day
Kg in mg Cap/tab
35 1000 mg * 2 4 cap * 2
� Chloramphenicol should never be used in babies less than 2 months of age and with
caution in infants less than 4kg or 6 months of age59. Because of the danger of OTP staff giving
chloramphenicol to these categories of patient, it should not be used as routine treatment in OTP
programmes.
� - Children referred to the OTP from an in-patient facility or have been transferred from another
OTP after having received antibiotics should not be given a second course.
� Children who require second-line antibiotic treatment or have significant infections should be
treated as in-patients. Therefore there are no recommendations for “second-line” antibiotics for
use in out-patient treatment programmes.
3. Duration of antibiotic treatment:
The first dose should be given under supervision; treatment should continue for a total of 7 days. For
out-patient care antibiotic syrup is preferred. If it is not available the tablets should be used and cut in
half by the staff before being given to the caretakers (for children