What is the first treatment step for a child with severe complicated measles?

The first treatment step for a child with severe complicated measles is to give an additional dose of Vitamin A. This is crucial because measles can lead to Vitamin A deficiency, which is linked to the severity of complications, including those affecting the eyes and immune response.

Vitamin A is essential in maintaining mucosal integrity, supporting cellular immune responses, and preventing complications associated with measles, such as severe infections or vision problems. Administering an additional dose of Vitamin A can significantly reduce mortality and improve outcomes for children suffering from measles.

While other interventions may be important, such as administering antibiotics for secondary bacterial infections or immunizing close contacts, these steps come after addressing the immediate need for Vitamin A supplementation. Referrals to specialists may also be necessary in more complex cases, but they do not address the immediate management of the underlying complications associated with measles.