Admission criteria

Criteria for admission for inpatient treatment:-

  • Children 6-59 months

Any of the following:-

  • MUAc<115mm with or without any grade of oedema
  • WFH < -3 SD with or without any grade of oedema
  • Bilateral pitting oedema +/++ (children with oedema +++ always need inpatient care)

With Any of the following complications:

  • Anorexia (Loss of appetite)
  • Fever (39 degree c) or Hypothermia (<35 c)
  • Persistent vomiting
  • Severe dehydration based on history and clinical examination
  • Not alert, very weak, apathetic, unconscious, convulsions
  • Hypoglycemia
  • Severe Anemia (severe palmar pallor)
  • Severe pneumonia
  • Extensive superficial infection requiring iM medications

Any other general sign that a clinician thinks requires admission for further assessment or care

In addition to above criteria if the caregiver is unable to take care of the child at home, the child should be admitted.

  • Infants < 6 months
    Infant is too weak or feeble to suckle effectively (independently of his/her weight-for-length).
    OR

  • WFL (weight-for-length) <–3SD (in infants >45 cm)
    OR
  • Visible severe wasting in infants <45 cm
    OR
  • Presence of oedema both feet.
    Other reasons for inpatient enrolment

Readmission: child previously discharged from in-patient care but meets admission criteria again.

Return after default: child who returns after default (away from in-patient care for 2 consecutive days) and meets the admission criteria.