This document discusses the assessment and treatment of local bacterial infections in young infants under 2 months of age. It outlines several key steps for healthcare providers, including rapidly assessing waiting infants, determining if it is an initial or follow-up visit, and checking for signs of local bacterial infection like red or draining umbilicus, skin pustules, and feeding or convulsion difficulties. Young infants exhibiting these yellow flags should be classified as having a local bacterial infection and given an oral antibiotic like amoxicillin for 5 days along with home treatment of affected areas. A follow-up visit after 2 days is also recommended to monitor improvement.

1. IMNCI- LOCAL
BACTERIAL
INFECTIONS
SRUTHI LAKSHMANAN
RA1841002010134

2. Introduction
Young infants (age up to two months) have special
characteristics that must be considered when classifying their
illnesses.
General signs exhibited are few movements, fever and low
body temperature.
Assessment procedure includes number of important steps
that must be taken care by the health care provider
IMNCI- LOCAL BACTERIAL INFECTIONS 2

3. ASSESS
IMNCI- LOCAL BACTERIAL INFECTIONS 3
Do a rapid appraisal of all
waiting infants
Ask the mother what the young
infant’s problems are.
Determine if this is an initial visit or
a follow up visit for this problem:
• If follow up visit, use the follow up
instructions
• If initial visit, assess the young
infant as follows

4. CHECK FOR LOCAL BACTERIAL
INFECTION
• ASK:-
is there any feeding difficulty?
has the infant had any convulsions
IMNCI- LOCAL BACTERIAL INFECTIONS 4
LOOK/LISTEN/FEEL:-
count breath rate and watch for chest
indrawing
measure axillary temperature
umbilicus- red or draining pus
look for skin pustules
look at infants movements
Young infant must be
calm

5. IMNCI- LOCAL BACTERIAL INFECTIONS 5
YELLOW: LOCAL BACTERIAL
INFECTION
• Umbilicus red or draining pus
• Skin pustules
GREEN: SEVERE DISEASE OR LOCAL
BACTERIAL INFECTION UNLIKELY
• None of the signs of severe bacterial
disease or local bacterial infection
CLASSIFY

6. IMNCI- LOCAL BACTERIAL INFECTIONS 6
LOCAL BACTERIAL INFECTION
• Give an appropriate oral antibiotic
• Teach the mother to treat local
infections at home
• Advise the mother on home care
• Follow up in 2 days
SEVERE DISEASE OR LOCAL
BACTERIAL DISEASE UNLIKELY
• Advise mother to give homecare
TREAT

7. ANTIBIOTIC
Appropriate oral antibiotic : AMOXICILLIN (2 times/day for 5 days)
 Birth to 1 month: ¼ of 250 mg tab or 2.5 ml of 125mg/5ml syrup
 1-2 months: ½ of 250 mg tab or 5 ml of 125mg/5ml syrup
IMNCI- LOCAL BACTERIAL INFECTIONS 7

8. TREAT PUSTULES
Twice daily for five days
 Wash hands and gently wash of pus and crusts with soap and water,
dry the area
 Paint with full strength(0.5%) Gentian Violet and wash hands
IMNCI- LOCAL BACTERIAL INFECTIONS 8

9. FOLLOW UP
After 2 days:
If the umbilicus pus or redness remains same or is worse,
refer to Hospital
If pus and redness improved, tell the mother to continue
giving the 5 days of antibiotic and continue treating the local
IMNCI- LOCAL BACTERIAL INFECTIONS 9

10. Thank you