A 2 months old child was brought to the subcenter by his mother with complaints of fever for two days. Weight of the child is 2 kg. On examination, the child is restless and irritable, skin pinch went back in 2 seconds, oral mucosa is dry and eyes were sunken. There were ten pustules on his forehead. What should be done at the subcenter?

Explanation

Ans: C. Give first dose of antibiotic and refer to higher center in an ambulance with sips of ORS along the way.(Ref .Ghai 8th/e p752-753: IMNCI Guidelines).Multiple signs of possible serious bacterial infection (10 skin pustules, diarrhea with severe dehydration & weight = 2 kg which is <-3SD).Hence, child should be immediately given first dose of injectable antibiotic, kept warm & referred to hospital with sips of ORS along the way