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close this bookStandard Treatment Guidelines (STG) and The National Essential Drug List for Tanzania (NEDLIT) (WHO; 1997; 210 pages)
View the documentFOREWORD
View the documentACKNOWLEDGMENTS
View the documentINTRODUCTION
close this folderStandard Treatment Guidelines (STG)
Open this folder and view contents1. GASTROINTESTINAL CONDITIONS
close this folder2. RESPIRATORY DISEASES
close this folder2.1 Acute Respiratory Infections (ARI)
View the document2.1.1 Pneumonia
View the document2.1.2 ARI in Children
View the document2.1.3 Wheezing
View the document2.1.4 Croup
View the document2.1.5 Laryngeal Diphtheria
Open this folder and view contents2.1.6 ARI in Adult
View the document2.1.7 Chronic Bronchitis
View the document2.1.8 Other Respiratory Infections
Open this folder and view contents2.1.9 Asthma
View the document2.1.10 Cough
View the document2.1.11 Whooping Cough
View the document2.1.12 Allergic rhinitis
Open this folder and view contents3. OBSTETRIC AND GYNAECOLOGICAL CONDITIONS AND CONTRACEPTION
Open this folder and view contents4. CARDIOVASCULAR DISEASES
Open this folder and view contents5. MALARIA
Open this folder and view contents6. SKIN DISEASES
Open this folder and view contents7. SEXUALLY TRANSMITTED INFECTIONS / DISEASES (STD)
Open this folder and view contents8. DENTAL AND ORAL CONDITIONS
Open this folder and view contents9. GENITO-URINARY DISEASES: KIDNEY CONDITIONS
Open this folder and view contents10. EAR, NOSE AND THROAT CONDITIONS
Open this folder and view contents11. EYE CONDITIONS
Open this folder and view contents12. TUBERCULOSIS AND LEPROSY
Open this folder and view contents13. MUSCULOSKELETAL CONDITIONS AND JOINT DISEASES
Open this folder and view contents14. METABOLIC AND ENDOCRINE SYSTEM CONDITIONS
Open this folder and view contents15. CENTRAL NERVOUS SYSTEM DISEASE CONDITIONS
Open this folder and view contents16. OTHER DISEASE CONDITIONS
Open this folder and view contents17. VIRAL INFECTIONS
Open this folder and view contents18. ALLERGIC REACTIONS
Open this folder and view contents19. NUTRITIONAL AND HAEMATOLOGIC CONDITIONS
Open this folder and view contents20. MALIGNANT DISEASE CONDITIONS
Open this folder and view contents21. INJURIES AND TRAUMA
View the document22. FOREIGN BODIES
View the document23. PAIN
View the document24. POISONING
View the document25. NORMAL LABORATORY VALUES
Open this folder and view contentsNATIONAL ESSENTIAL DRUG LIST
View the documentABBREVIATIONS AND SYMBOLS
 
2.1.5 Laryngeal Diphtheria

Clinical features: Is an infection caused by corynebacterium diphtheria. It is directly transmitted from person to person by droplets. Children between 1-5 years of age are most susceptible although non-immune adults are also at risk. Diphtheria may be asymptomatic or symptoms are characterized by grayish-white membrane, compassed of dead cells, fibrin, leucocytes and red blood cells is seen as a results of inflammation due to multiplying bacteria.

Treatment guidelines

• Gently examine the child's throat - can cause airway obstruction if not carefully done


Drug of choice

Procaine penicillin (IM) once daily for 7 days

 

Plus

 

Diphtheria antitoxin (IM or slow IV) 40,000 Units.

NOTE Tracheostomy may be required for airways obstruction.

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