IMCI Session 7 - Sick Young Infant

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Transcript of IMCI Session 7 - Sick Young Infant

Session 7:

Management Of Sick Young Infant (1 week to 2 months)1

Learning ObjectivesBy the end of this session, the students will be able to: (1) (2) (3) (4) (5) (6) (7) (8) recognize the signs of possible bacterial infection classify the infant based on the signs found assess for diarrhea assess for feeding problems assess immunization status assess other problems identify proper treatment provide proper counseling and follow-up care

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SUMMARY OF ASSESS AND CLASSIFYAsk the mother or caretaker about the young If this is an INITIAL VISIT for the problem, follow the steps below. (If this is a follow-up visit for the problem, give follow-up care according to PART VII)

Check for POSSIBLE BACTERIAL INFECTION and classify the illness.

Ask the mother or caretaker about DIARRHOEA:

If diarrhea is present: assess the infant further for signs related to diarrhea, and classify the illness according to the signs which are present or absent.

Check for FEEDING PROBLEM OR LOW WEIGHT and classify the Check the infants immunization status and decide if the infant needs any immunization today. Assess any other problems. Then: Identify Treatment (PART IV), Treat the Infant (PART V), and Counsel the Mother (PART VI)

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How to check a young infant for possible bacterial infectionFor ALL sick young infants check for signs of POSSIBLE BACTERIAL INFECTION

CHECK FOR POSSIBLE BACTERIAL INFECTIONASK: Has the infant had convulsions? LOOK, LISTEN, FEEL:Count

the breaths in one minute. Repeat the count if elevated. YOUNG Look for severe chest indrawing. INFANT Look for nasal flaring MUST BE Look and listen for grunting. CALM Look and feel for bulging fontanelle. Look for pus draining from the ear. Look at the umbilicus. Is it red or draining pus? Does the redness extend to the skin? Measure temperature (or feel for fever or low body temperature) Look for skin pustules. Are there many or severe pustules? See if the young infant is lethargic or unconscious.

Look at the young infantss movements. Are they less than normal?

CLASSIFY the infants illness using the COLOUR-CODED-CLASSIFICATION TABLE FOR POSSIBLE BACTERIAL INFECTION.

Then ASK about diarrhea. CHECK for feeding problem or low weight, immunization status and for other problems.

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Check for possible bacterial infectionMust be done for every sick infant Three important bacterial infections: pneumonia sepsis meningitis Assess the signs in the order Keep the young infant calm during the assessment Presence of any sign warrants referral to a hospital

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Check for possible bacterial infectionSigns and Symptoms of Possible Bacterial Infection in a Young Infant: convulsion RR > or = 60/min Severe chest indrawing Note: mild chest indrawing is normal in a young infant because of the soft chest wall

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severe chest indrawing is a sign of pneumonia and is serious in a young infant.

Infant with retractions

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Check for possible bacterial infectionSigns and Symptoms of Possible Bacterial Infection in a Young Infant: nasal flaring: widening of the nostrils when the young infant breathes in grunting: short sounds a young infant makes when breathing out8

The larynx, or voice box, is located in the neck and performs several important functions in the body. The larynx is involved in swallowing, breathing, and voice production. Sound is produced when the air which passes through the vocal cords causes them to vibrate and create sound waves in the pharynx, nose and mouth. The pitch of sound is determined by the amount of tension on the vocal folds.

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Nasal flaring may be an indication of breathing difficulty, or even respiratory distress in infants

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Not Nasal Flaring but Yawning

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Grunting in an Infant

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Check for possible bacterial infection

Signs and Symptoms of Possible Bacterial Infection in a Young Infant: bulging fontanelle: the infant must be in an upright position and must be calm and quiet. If the fontanel is bulging rather than flat, this may mean the young infant has meningitis.13

Bulging Fontanel

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Check for possible bacterial infectionSigns and Symptoms of Possible Bacterial Infection in a Young Infant:

pus draining from ear erythema and discharge from the umbilicus redness extending to the skin of the abdominal wall is a sign of serious bacterial infection

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Umbilicus

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Umbilicus

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Umbilicus

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Check for possible bacterial infectionSigns and Symptoms of Possible Bacterial Infection in a Young Infant: abnormal body temperature FEVER axillary T > 37.5 C rectal T > 38.0 C HYPOTHERMIA axillary T < 35.5 C rectal T