Ampicillin arm: Patients will receive four doses of parenteral Ampicillin and single dose of Gentamicin daily for 3-5 days

Amoxicillin arm: Patients will receive two doses of Amoxicillin and single dose of Gentamicin daily for 3-5 days

Treatment Failure

Lethargy

Altered Mental Status

Convulsion, Non-Epileptic

Hypoxia

Feeding; Difficult, Newborn

Twice daily doses of injectable amoxicillin

Amoxicillin

Dhaka Hospital, icddr,b

RCT of Efficacy of Amoxicillin Over Ampicillin on Severe Pneumonia

Efficacy of Two Doses of Parenteral Amoxicillin Plus Single Dose Gentamicin Compared to Four Doses of Parenteral Ampicillin Plus Single Dose Gentamicin in Managing Children Hospitalized With WHO Classified Severe Pneumonia: a RCT

Persistence of danger signs of severe pneumonia such as hypoxia, feeding difficulty, abnormal mentation after 48 hours or new appearance of danger sign within 24 hours

Recovery from features of pneumonia in terms of respiratory distress, abnormal chest auscultation finding

any hospital acquired infection proven by laboratory facility

Follow up over phone to get information of any mild illness at home after discharge

International Centre for Diarrhoeal Disease Research, Bangladesh

In this group patients receive volemic standard treatment (conventional)

In this group patients receive volemic small treatment (restrictive)

Acute Abdomen

Goals:
arterial pressure mean ≥ 65 mmHg or equal to the pre-operative
diuretic rhythm ≥ 1 ml / Kg / h
venous saturation in vena cava ≥ 70% or mixed venous saturation as Swan Ganz's catheter (SG) ≥ 65%
BE> - 3
Central Venous Pression (PVC) ≥ 8 mmHg; for patients undergoing mechanical ventilation, this limit may be raised to 12-15 mmHg.

Standard fluidic resuscitation.

Goals of the treatment:
arterial pressure mean ≥ 60 mmHg or ≥ 10% less than the preoperative values
diuretic rhythm ≥ 0.5 ml / kg / h
venous saturation in vena cava ≥ 60% or mixed venous saturation ≥ 55% by SG
BE> - 5
PVC goal not necessary
To achieve the therapeutic goals set out above will be executed a volemic fill up to values of PVC ≤ 5 mmHg or at maximum values of 2 mmHg more the incoming If after proper filling the targets aren't yet achieved, the patient will begin infusion of vasoactive drugs following the practice of department. If after 12 hours of admission the water balance will be > 10-15 ml / kg / h an infusion of furosemide should be initiated

Volemic small treatment

Different Fluidic Strategy in Patients With Acute Abdomen : The Sure Volume

MANAGEMENT OF THE PATIENT WITH ACUTE ABDOMEN SUBMITTED TO URGENT ABDOMINAL SURGERY: a Pilot Randomized Multicentre Study

The purpose of this work is to evaluate the clinical changes determined by a different volemic strategy.

empyema/seizures

RCT of Efficacy of Amoxicillin Over Ampicillin on Severe Pneumonia

Different Fluidic Strategy in Patients With Acute Abdomen : The Sure Volume

La base de dades d’herbes medicinals més completa avalada per la ciència