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A narrative review of efficacy of antibiotics in treatment of children with severe acute malnutrition in community based out-patient treatment.

Abstract
The World Health Organisation (WHO) updated guidelines on the management of severe acute malnutrition in infants and children (2013) recommends antibiotic treatment of uncomplicated severe acute malnutrition (SAM) in the community setting. As community-based treatment is gaining ground, this evidence review looks at the emerging data to improve the decision-making process. The databases of Pubmed, Google Scholar, Cochrane Database of Systematic Review were searched for experimental and observational studies in the English literature for the period of 2011-2021. The search identified seven studies: two interventional and five observational. Six of these studies showed significant improvement in recovery rates using weight for height Z-score-2. Emerging evidence supports the continuation of antibiotic treatment for uncomplicated SAM in out-patient settings, as recommended in the WHO guideline of 2013.
AuthorsPraveen Kumar, Keya Chatterjee, Abner Daniel, Rajesh Kumar Sinha, Purnima Arora, Arjan De Wagt
JournalTropical doctor (Trop Doct) Vol. 52 Issue 4 Pg. 489-494 (Oct 2022) ISSN: 1758-1133 [Electronic] England
PMID35815931 (Publication Type: Journal Article, Review)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Anti-Bacterial Agents (therapeutic use)
  • Child
  • Humans
  • Infant
  • Outpatients
  • Severe Acute Malnutrition (drug therapy)
  • World Health Organization

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