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Why are prophylactic antibiotics prescribed in the guidelines?

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Why are prophylactic antibiotics prescribed in the guidelines?

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This is a wrong perception. The antibiotics are being prescribed because infections are often silent in severe malnutrition. So the antibiotics are a treatment, not a prophylaxis. It is important to treat severely malnourished children with antibiotics straightaway, even if they have no clinical signs, so that hidden infections can be controlled.

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