GuidelinesIMCI
Pneumonia - Follow-Up
IMCI - Child (Age 2 months up to 5 years)
Care for the child who returns for follow-up using ALL the boxes that match the child’s previous classifications
If the child has a new problem, assess, classify and treat the new problem as on the ASSESS AND CLASSIFY Chart
Pneumonia and Cough or Cold
After 2 days
- Check the child for general danger signs - See Assess & Classify
- Assess the child for cough or difficult breathing - See Assess & Classify
- Ask: - Is the child’s breathing slower? - See Assess & Classify
- Is there less fever? - See Assess & Classify
- Is the child eating better? - See Assess & Classify
Treatment:
- If there is chest indrawing or a general danger sign, give first dose of ceftriaxone IM. Also give first dose cotrimoxazole unless the child is known to be HIV-negative. Then refer urgently
- If breathing rate, fever and eating are the same, or worse, check if caregiver has been giving the treatment correctly. If yes, refer. If she has been giving the antibiotic incorrectly, teach her to give oral medicines at home. Follow-up in 2 days
- If breathing slower, less fever or eating better, complete 5 days of antibiotic. Remind the caregiver to give one extra meal daily for a week
Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Give Follow-up Care; Pneumonia
Last checked for updates: June 2023