Table 1.
Thiamine content of therapeutic milk and estimated thiamine needs in children during the acute phase of refeeding in SAM.
Body weight (kg) | Approximate amount of F-75 (milliliter and equivalent of thiamine content) given in 8 meals/day in acute stabilization phase according to refeeding protocols [WHO (84)] | South African and Australian guidelines for prevention of refeeding syndrome (2 mg/kg of thiamine) (118, 119) |
---|---|---|
5 | 8 × 85 ml/day (~0.5 mg of thiamine) | 10 mg of thiamine |
7 | 8 × 120 ml/day (~0.8 mg of thiamine) | 14 mg of thiamine |
10 | 8 × 170 ml/day (~1.1 mg of thiamine) | 20 mg of thiamine |
15 | 8 × 250 ml/day (~1.7 mg of thiamine) | 30 mg of thiamine |
SAM, severe acute malnutrition; F-75 is the therapeutic milk used during early refeeding (75 kcal/100 ml). As an example, a 7 kg child with complicated SAM would be given eight meals of 120 ml of F-75 on admission. Applying above guidelines (third column) would represent approximately 17 times more thiamine.