Choice of antibiotics in severely malnourished

positive children
Preventive ABx
= Co-trimoxazole
120 mg if < 5 kg BD PO,
240 mg if > 5 kg BD PO
All Moyo
1st Line AB treatment
Benzylpenicillin 50.000IU/kg QDS IV/IM for 2 days
then oral Amoxicillin 25-40mg/kg TDS PO for 5 days
(Amoxicillin: infants <3 kg: 15 mg/kg/dose every 12 hours)
AND Gentamicin 7.5 mg/kg OD IV/IM for 7 days
Failure to respond or clinical deterioration (if child fails to lose oedema, remains anorexic, or clinically septic/ sick) 2nd Line AB treatment
Ceftriaxone 100 mg/kg OD IV/IM for 5 to 7 days

Conditions needing special antibiotic treatment