The next step is to classify fever in measles. For a child who has fever and no signs of measles, classify the child for fever only, and for a child who has signs of both fever and measles, classify the child for both. You will use classification tables for fever and measles bellow.
SIGNS |
CLASSIFY |
TREATMENT |
Any general danger sign or
Stiff neck.
Bulged fontanel.
|
VERY SEVERE FEBRILE DISEASE |
Give the first dose of Cotrimoxazole.
Give the first dose of Artesunate rectal suppository if available.
Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
Advise mother to breast feed more frequently.
Advise mother on the need for referral.
Refer URGENTLY to the hospital or health centre.
|
RDT positive If not available
Fever (by history or feels hot or temperature 37.5°C or above).
|
MALARIA |
Treat with an oral antimalarial. Coartem for P. falciparum and mixed infections. Chloroquine for P. Vivax (as confirmed by multi species RDT).
Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
Advise mother on fluid and food.
Advise mother when to return immediately.
Follow-up in 2 days if fever persists.
If fever is present every day for more than 7 days, refer for assessment.
If weight is <5kg refer the sick child to a health centre or hospital.
|
RDT Negative |
Fever Malaria unlikely |
Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
Advise mother on fluid and food.
Advise mother when to return immediately.
Follow-up in 2 days if fever persists.
If fever is present every day for more than 3 days, refer for assessment.
|
SIGNS |
CLASSIFY |
TREATMENT |
Any general danger sign or
Stiff neck.
Bulged fontanel.
|
VERY SEVERE FEBRILE DISEASE |
Give the first dose of Cotrimoxazole.
Give the first dose of Artesunate rectal suppository if available.
Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
Advise mother to breast feed more frequently.
Advise mother on the need for referral.
Refer URGENTLY to a hospital.or health center.
|
RDT is positive.
If not available. NO runny nose and NO measles and NO other cause of fever.
|
MALARIA |
Treat with an oral antimalarial. Coartem for P. falciparum and mixed infections; Chloroquine for P. Vivax (as confirmed by multi species RDT )
Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
Advise mother on fluid and food.
Advise mother when to return immediately.
Follow-up in 2 days if fever persists.
If fever is present every day for more than 7 days, refer for assessment.
|
Negative RDT.
If not available: Runny nose PRESENT or Measles PRESENT or Other cause of fever PRESENT. |
FEVER - MALARIA UNLIKELY |
Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
Advise mother on fluid and food.
Advise mother when to return immediately.
Follow-up in 2 days if fever persists.
If fever is present every day for more than 3 days, refer for assessment.
|
FOR NO MALARIA RISK AREA |
Any general danger sign or
Stiff neck.
Bulged fontanel. |
VERY SEVERE FEBRILE DISEASE |
Give the first dose of Cotrimoxazole.
Give one dose of Paracetamol for high fever (38.50C or above)
Advise mother on the need for referral.
Advise mother to breastfeed more frequently.
Refer URGENTLY to hospital or health centre
|
Any fever. |
FEVER (NOMALARIA) |
Give one dose of Paracetamol for high fever (38.50C or above).
Advise mother on fluid and food.
Advise mother when to return immediately.
If fever is present every day for more than 3 days, refer for assessment.
Follow-up in 2 days if fever persists.
|
Last modified: Wednesday, 1 March 2017, 1:57 AM