Community Medicine (PSM) · Nutrition (Macro/Micronutrients, RDA, PEM, Nutritional Programmes)

A 14-month-old child with acute watery diarrhoea and some dehydration is managed with ORS at a health centre. As per WHO and UNICEF recommendations, adjunctive therapy that reduces the duration and severity of the episode should be given as:

  • A Elemental zinc 20 mg daily for 14 days
  • B Elemental zinc 10 mg daily for 14 days
  • C Elemental zinc 20 mg daily for 3 days
  • D Elemental zinc 45 mg daily for 5 days
Correct answer: A. Elemental zinc 20 mg daily for 14 days

Explanation

For children aged 6 months or older, WHO and UNICEF recommend 20 mg elemental zinc daily for 10 to 14 days during diarrhoea episodes; the 10 mg dose applies only to infants below 6 months. Zinc reduces stool volume, duration of diarrhoea, and recurrence risk over the following two to three months. Short courses of 3 to 5 days do not confer these benefits.

Reference: WHO Pocket Book of Hospital Care for Children, 2nd ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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