Cough

• Infection of Lungs Causative Agents

  1. Streptococcus Pneumonia
  2. Haemophilus influenzae
• Classification of pneumonia


  1. Severe Pneumonia or very severe disease
  2. Pneumonia
  3. No pneumonia: cough of cold
• Cough or DOB


  • Pink row- Severe pneumonia or very severe disease
  • Yellow row- Pneumonia
  • Green row- no pneumonia: cough or colds
• Severe pneumonia or very severe disease

  • Any general danger sign or chest indrawing or stridor in a calm child
  • Treatment: first dose of appropriate antibiotic, vitamin A, Treat the child to prevent low sugar
• Chest indrawing


  when child breathes in, lower chest goes in
• Stridor


  • swelling larynx, trachea or epiglottis
• Give oral antibiotic (treatment)

  2 mons- 12 mos - 1 tablet/ 5ml syrup

  12-3 yrs- 1 tablet/ 10 ml

  3yrs- 5yrs- 3 tablet/ 15 ml

  1 tablet- 250mg
• Amoxicillin


  recommended first line drug of choice in the treatment of pneumonia due to its efficacy and increasing high resistance to cotrimoxazole
• Vitamin A dose


  less than 6 months- 50 000 IU

  6- 12 months- 100 000 IU

  one yr and older- 200 000 IU
• Age specific threshold


  12mos-5 yrs= 40 bpm or more

  2mos-12mos= 50bpm or more

  2 mos and below= 60bpm