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Figure 1. World Health Organization classification of pneumonia (1990)
Footnote. Children with stridor, severe under-nutrition and signs of meningitis are considered separately ADDIN EN.CITE World Health Organization199128282827World Health Organization,Technical bases for the WHO recommendations on the management of pneumonia in children at first-level health facilities.1991GenevaWorld Health OrganizationMacintosh HD:Users:jags:Files:References:eLibrary:WHO:WHO/ARI/91.20.pdf World Health Organization. Programme for the Control of Acute Respiratory Infections199035353527World Health Organization. Programme for the Control of Acute Respiratory Infections,Acute respiratory infections in children: case management in small hospitals in developing countries. A manual for doctors and other senior health workers.1990GenevaWorld Health OrganizationWHO/ARI/90.5 [13, 14].
Figure 2. Flow chart for defining entry into PERCH with either severe or very severe pneumonia
Footnote. All children recruited to PERCH are admitted to hospital at least during the assessment stage. Only symptoms and signs present at assessment are included in the case-definition. Difficulty breathing is defined as an abnormal rate or pattern of breathing or the presence of additional noises (wheeze, stridor). Convulsions a r e d e f i n e d a s e i t h e r a s i n g l e c o n v u l s i o n l a s t i n g e"1 5 m i n u t e s o r a t l e a s t t w o c o n v u l s i o n s i n a 2 4 - h o u r p e r i o d d u r i n g t h e c u r r e n t i l l n e s s . A m o n g c h i l d r e n a g e d 2 - 4 y e a r s , a w h e e z i n g c h i l d i s c o n s i d e r e d t o h a v e s e v e r e p n e u m o n i a o n l y i f t h e l o w e r c h e s t w a l l ] ^ f g Ҿ實 h hbt h
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indrawing is unresponsive to three doses of bronchodilator; among children <2 years only one dose of bronchodilator must be given to make this assessment.
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