TABLE 2.

Standard treatment guidelines for malaria, Gondama Hospital, Sierra Leone

Age	Type of anti-infective	Dosage	Treatment frequency	Treatment duration
A Severe malaria
First-line	Artemether IM/IV	3.2 mg/kg	Single dose	Loading dose D1
		1.6 mg/kg	Once daily	Until patient is able to take oral treatment
Infant (2–11 months)	AS/AQ	AS 25 mg/AQ 67.5 mg (1 tablet)	Once daily	3 days
Child (1–5 years)	AS/AQ	AS 50 mg/AQ 135 mg (1 tablet)	Once daily	3 days
Youth (6–13 years)	AS/AQ	AS 100 mg/AQ 270 mg (1 tablet)	Once daily	3 days
Alternative	Quinine IV	20 mg/kg/4 h	Infusion	Loading dose D1
		10 mg/kg/8 h	Infusion	Until patient is able to take oral treatment
Infant (2–11 months)	…then or AS/AQ	AS 25 mg/AQ 67.5 mg (1 tablet)	Once daily	3 days
Child (1–5 years)	AS/AQ	AS 50 mg/AQ 135 mg (1 tablet)	Once daily	3 days
Youth (6–13 years)	AS/AQ	AS 100 mg/AQ 270 mg (1 tablet)	Once daily	3 days
	…or quinine PO			Complete 7 days of treatment
B Non-severe malaria
Infant (2–11 months)	AS/AQ	AS 25 mg/AQ 67.5 mg (1 tablet)	Once daily	3 days
Child (1–5 years)	AS/AQ	AS 50 mg/AQ 135 mg (1 tablet)	Once daily	3 days
Youth (6–13 years)	AS/AQ	AS 100 mg/AQ 270 mg (1 tablet)	Once daily	3 days

IM = intramuscular; IV = intravenous; AS/AQ = artesunate-amodiaquine.