Table 1. Pneumonia SCM.
Diagnosis | Presenting Signs and Symptoms | Recommended Treatment Regimens |
Very severe pneumonia | Respiratory rate: ≥50 aged 2–11 mo; ≥40 aged 12–59 mo; Lower chest wall in-drawing; Cyanosis; unable to drink; reduced level of consciousness; grunting (infants) | Chloramphenicol 25 mg/kg 8 hourly; or ampicillin 50 mg/kg IM four times daily plus gentamicin 7.5 mg/kg once daily; or if ampicillin unavailable, benzylpenicillin 50,000 units/kg every 6 h plus gentamicin 10 d antibiotic treatment |
Severe pneumonia | Respiratory rate: ≥50 aged 2–11 mo; ≥40 aged 12–59 mo; lower chest wall in-drawing | Benzylpenicillin 50,000 units/kg every 6 h; or if injectable penicillin unavailable or referral is not possible, then oral amoxicillin 25 mg/kg twice daily for 5 d |
Nonsevere pneumonia | Respiratory rate: ≥50 aged 2–11 mo; ≥40 aged 12–59 mo | Cotrimoxazole (trimethoprim 4 mg/kg–sulphamethoxazole 20 mg/kg) twice daily for 5 d; or amoxicillin 25 mg/kg twice daily 3 d antibiotic treatment |
IM, intramuscularly; SCM, child aged 2–59 mo.