pediatrics
Measles
Treatment of Measles
Supportive care For children,vitamin A Treatment of measles is supportive, including for encephalitis. Patients are most contagious for 4 days after the development of the rash. Patients who are otherwise healthy and can be managed as outpatients should be isolated from others during their illness. Hospitalized patients with measles should be managed with standard and airborne precautions. Single-patient airborne infection isolation rooms and N-95 respirators or similar personal protective equipment are recommended. Vitamin Asupplementationhas been shown to reduce morbidity and mortality due to measles in children in medically underserved areas. Because low serum levels ofvitamin Aare associated with severe disease due to measles,vitamin Atreatment is recommended for all children with measles. The dose is given orally once a day for 2 days and depends on the child’s age: ≥ 12 months: 200,000 international units (IU) 6 to 11 months: 100,000 IU <6 months: 50,000 IU In children with clinical signs of Vitamin A Deficiency , an additional single, age-specific dose of 