Description

If a sick child is managed as an outpatient, the parents should be given instructions for when to bring the child back immediately for assessment. A number of these criteria are listed in the Integrated Management of Childhood Illness (IMCI) program.


 

Indications for bringing a sick child back immediately for an assessment:

(1) the child is unable to drink or breastfeed

(2) the child the child has diarrhea and is drinking poorly

(3) the child has become sicker

(4) the child has developed a new onset of fever

(5) the child has bloody diarrhea

(6) the child is breathing rapidly

(7) the child is having difficulty breathing

 

where:

• Deterioration in level of consciousness can be included under becoming sicker.

• Severe vomiting and drinking poorly would also seem to be a good reason to come back.

• Similar indications with different wording are given in 44.04.15 (above).

 

Exceptions:

(1) the child had the same fever when previously evaluated.

(2) the child had blood in the stool when previously evaluated

 


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