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GuidelinesIMCI

Penicillin - IM (Age 2 months up to 5 years)

IMCI - Child (Age 2 months up to 5 years)

Give IM Penicillin for Possible Streptococcal Infection

Give IM single dose or oral treatment twice daily 

  • IM Penicillin is the treatment of choice (see below)
  • Give azithromycin if the child is allergic to penicillin 
  • Only give oral penicillin if the caregiver does not want the child to have an injection 
  • Dilute 1.2 million units with 3 ml of sterile water or 3 ml of lidocaine 1% without adrenaline

Benzathine Benzylpenicillin IM Injection

Weight
Age
1.2mu in 3 ml sterile water 
1.2mu in 3 ml lidocaine1% without adrenaline
Up to 30 kg
3 up to 5 years
1.5 ml
1.5 ml

Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Treatments in Clinic Only; Penicillin


Last checked for updates: June 2023

Drugs mentioned

NeoHealth® ID 17567 · updated 8/18/2023