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Question

Following are the diagnostic criteria for SAM in children $\le$ 5 years :
(a) Weight for height $-$ 3 SD
(b) Weight for height $-$ 2 SD
(c) MUAC less than 115 mm
(d) MUAC less than 125 mm

The correct answer is
(a) and (c)

SAM Diagnostic Criteria Children

Diagnosing Severe Acute Malnutrition (SAM) in children $\le$ 5 years involves specific anthropometric measures.

Key SAM Indicators

The primary criteria for identifying SAM are:

  • Weight-for-height z-score: Less than -3 SD ($z < -3 \text{ SD}$).
  • MUAC: Less than 115 mm ($MUAC < 115 \text{ mm}$).
  • Bilateral pitting edema.

Option (a) represents the weight-for-height criterion, and option (c) represents the MUAC criterion for SAM.

Conclusion on Criteria

Based on standard diagnostic guidelines:

  • Criterion (a) Weight for height $-$ 3 SD is a key indicator of SAM.
  • Criterion (c) MUAC less than 115 mm is another key indicator of SAM.

Therefore, the correct diagnostic criteria for SAM in children $\le$ 5 years, as presented in the options, are (a) and (c).

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