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Table 2 Treatment recommendations for acute respiratory illness (ARI) according to our developed guidelines

From: Effectiveness of an educational intervention to improve antibiotic dispensing practices for acute respiratory illness among drug sellers in pharmacies, a pilot study in Bangladesh

Clinical scenarios for ARI Treatment Recommendation
Uncomplicated ARI in children
(<  5 years)
▪ No antibiotics
▪ Only symptomatic treatment
-- If febrile, treatment with acetaminophen, sponging of body, hydration for patients ≥6 months
-- For cough, drink warm lime water, honey, lemon tea
-- Follow-up in 5 days if symptoms have not improved
Complicated ARI in children
(<  5 years)
▪ Antibiotic for 5 days
▪ Follow-up in 2 days
▪ Advise the caretaker to return immediately if the child develops any danger signs (inability to drink or breastfeed, repeated vomiting, convulsion, lethargy/abnormally sleepy/unconscious)
▪ Refer urgently to physician/hospital if child develops danger sign
Uncomplicated ARI in adults ▪ No antibiotic
▪ Only symptomatic treatment
-- Over the counter drugs such as cough syrups and antihistamines can be given; acetaminophen should be given if febrile
-- For cough, drink warm lime water, honey, lemon tea or salt water gargling
-- Follow-up in 5 days if symptoms have not improved
Complicated ARI in adults ▪ No antibiotics
▪ Referral to a physician