Tuesday, November 29, 2016

Peadiatric Dose of Vitamin A for Malnutrition

Frank Shann
<8kg: 100,000iu
>8kg: 200,000iu
PO/IM every 4-6months
BNF
For Children
Neonate                 : 5000 u/daily
Child 1-11 months: 5000 u/daily
Child 1-17 years   : 10 000 u/daily
*to be taken with or after food, higher doses maybe used initially for treatment of severe deficiency
WHO Guideline
  • Children with severe acute malnutrition should be provided with about 5000 IU vitamin A daily, either as an integral part of therapeutic foods or as part of a multi-micronutrient formulation (strong recommendation, low quality evidence).
  • Children with severe acute malnutrition do not require a high dose of vitamin A as a supplement if they are receiving F-75, F-1002 or ready-to-use therapeutic food that complies with WHO specifications (and therefore already contains sufficient vitamin A), or vitamin A is part of other daily supplements (strong recommendation, low quality evidence).
  •  Children with severe acute malnutrition should be given a high dose of vitamin A (50 000 IU, 100 000 IU or 200 000 IU, depending on age) on admission, only if they are given therapeutic foods that are not fortified as recommended in WHO specifications and vitamin A is not part of other daily supplements
Reference: 
  1. Frank Shann 16th Edition 
  2. BNF for Children 2015-2016
  3. WHO. Guideline: Updates on the management of severe acute malnutrition in infants and children. Geneva: World Health Organization; 2013.

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