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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