When should I switch from F-75 to F100?

The signs for readiness for transition from F75 to F100 are that the child is very hungry, reduced/minimal oedema, and the child has been tolerating F75 well with little watery diarrhoea.

What is the difference between F75 and F100?

F-75 contains 75 kcal and 0.9 g protein per 100 ml. As soon as the child is stabilized on F-75, F-100 is used as a "catch-up" formula to rebuild wasted tissues. F-100 contains more calories and protein: 100 kcal and 2.9g protein per 100 ml.

What is F100 formula?

F-100 and F-75 (also known as Formula 100 and Formula 75) are therapeutic milk products designed to treat severe malnutrition. In 1994, Action Against Hunger/Action Contre la Faim (ACF) pioneered the use of milk formula F-100 for the treatment of severe acute malnutrition.

What is the difference between ORS and ReSoMal?

At that time WHO guidance advised that children with SAM should be given a modified version of oral rehydration solution (ORS) called ReSoMal (rehydration solution for malnutrition), which has lower sodium, higher potassium and glucose and lower osmolarity than Old WHO ORS ( Table 2) ^{5, 6}.

How do I prepare F-75 locally?

F75 (75 kcal/100mL) diet is used during initial phase of treatment while F100 (100kcal/100mL) is used during rehabilitation phase after appetite has returned [1]. These diets can be prepared locally using cow milk, sugar, vegetable oil, and water.

Safe Preparation of F75 and F100 Therapeutic Milk

Why is F-75 given before F100?

F-75 is low in protein and sodium and high in carbohydrates, which is more easily handled by the child and provides much-needed glucose. When the child is stabilised (usually after 2−7 days), the 'catch-up' formula F-100 or ready- to-use therapeutic food (RUTF) are used to rebuild wasted tissues.

What is F100 diet?

F-75 and F-100, also known as Formula 75 and Formula 100 milk, are therapeutic foods/milk given to Severe Acute Malnourished (SAM) Child. They are high energy products with rich nutrient content and used for treatment of Severe Acute Malnutrition.

What is F100 milk?

The World Health Organization recommends a liquid, milk-based diet (F100) during the rehabilitation phase of the treatment of severe malnutrition. A dry, solid, ready-to-use food (RTUF) that can be eaten without adding water has been proposed to eliminate the risk of bacterial contamination from added water.

Why is Resomal preferred in malnutrition?

The attraction of RESOMAL is that it is much easier to handle, hence its great success in emergency situations. Other advantages of RESOMAL are that it has additional sugar and Magnesium, Zinc and Copper.

Why do we give Resomal?

ReSoMal is used for the preparation of an oral rehydration solution (ORS) exclusively for people suffering from severe acute malnutrition. It must be used under medical supervision in therapeutic feeding centres, and must not be given directly to families.

How do you prepare a F100 dilute?

Add 35 ml of clean water to 100 ml of F100 already prepared to have 135 ml F100 Diluted , discard any excess milk soon after use ➢ If you need more than 135 ml, add 70 ml of clean water to 200 ml of already prepared F100 to have 270 ml of F100 Diluted.

How do you dilute F-75?

Preparation of F75 therapeutic milk using the red NUTRISET scoop: Mix one level measuring scoopful of Nutriset F-75 therapeutic milk powder in with 20 ml of water. This dilution is only valid for F75.

What is the difference between Iycf and Cmam?

“Integration of IYCF Support in CMAM” has been developed to train health care personnel and community health workers in the integration of recommended infant and young child feeding (IYCF) practices within CMAM in order to enable them to support mothers/caregivers.

What is the difference between F100 and RUTF?

RUTF is high in energy and protein, with added electrolytes, mineral and vitamins, specifically designed to treat SAM in the rehabilitation phase. It is equivalent to F100 in terms of nutrients/100kcal. It does not have to be mixed with water and so is microbiologically safe and enables treatment in the community.

How do you feed a severely malnourished child?

If using fresh cow's milk, take 880 ml milk, 75 g sugar, 20 ml oil, 20 ml electrolyte-mineral solution, and water to make up to 1000 ml. The child should be fed every two hours—or, if this is not possible, every three hours—day and night. Breastfeeding should be continued.

What is refeed syndrome?

Refeeding syndrome can be defined as the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding (whether enterally or parenterally⁵). These shifts result from hormonal and metabolic changes and may cause serious clinical complications.

How do you administer Resomal?

Child and adult: 5 ml/kg every 30 minutes over the first 2 hours, then 5 to 10 ml/kg/hour for the next 4 to 10 hours, until dehydration is corrected.

Why ORS is not given in diarrhea?

ORS does not stop diarrhoea. It prevents the body from drying up. The diarrhoea will stop by itself. If child vomits, wait ten minutes and give it ORS again.

What is Gomez scale?

Gomez classification One of the earliest systems for classifying protein‐energy malnutrition in children, based on percentage of expected weight for age: over 90% is normal, 76–90% is mild (first degree) malnutrition, 61–75% is moderate (second degree) malnutrition and less than 60% is severe (third degree) ...

What is F-75 milk?

F-75 is a milk based powdered therapeutic diet. Reconstituted F-75 milk provides an energy density of approximately 75 kcal/100ml. It is intended for phase 1 (stabilisation) treatment of children with Severe Acute Malnutrition (SAM).

How do you make Resomal at home?

Why don't we give iron in malnutrition?

7.4.

All severely malnourished children have vitamin and mineral deficiencies. Although anaemia is common, do not give iron initially, but wait until the child has a good appetite and starts gaining weight (usually in the second week), because iron can make infections worse.

What is rehabilitation phase in malnutrition?

A gradual transition to the rehabilitation phase is recommended to avoid the risk of heart failure, which may occur if malnourished children suddenly consume large-volume feeds. In the rehabilitation phase, a vigorous approach to feeding is required to achieve high intakes and rapid weight gain of 10 g/kg/day.