In IMNCI (Integrated Management of Neonatal and Childhood Illness) protocol, a 3-month-old infant is classified as having 'pneumonia' (not severe). According to current IMNCI guidelines updated for India, the recommended outpatient treatment is:

• A Amoxicillin 40 mg/kg/day for 5 days and advise mother to monitor
• B Co-trimoxazole for 5 days
• C No antibiotics; only supportive care with saline nasal drops
• D Amoxicillin 40 mg/kg/day for 3 days and advise mother on danger signs ✓

Explanation

Revised IMNCI guidelines (2014 onwards, aligned with WHO 2014 revision) recommend oral amoxicillin for 3 days for non-severe pneumonia classified by fast breathing (50 breaths/min for 2–12 months) without chest indrawing or danger signs. Co-trimoxazole was previously used but replaced by amoxicillin due to resistance. The shorter 3-day course has equivalent efficacy with better compliance. Mothers are counselled on danger signs requiring return.

Reference: Ghai Essential Pediatrics, 10th ed.

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Written and medically reviewed by the StethoPrep medical team.