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Cough - acute with chest signs in children - Management
Table: Risk assessment of child with a respiratory tract infection

Table 1. Assessment of risk in a child with a cough and signs in the chest on examination.
 
Intermediate risk
High risk
Respiratory rate (RR)
Age < 12 months and RR > 50/minute
Age > 12 months and RR > 40/minute
RR > 60/minute
Other respiratory features
Nasal flaring
Crackles (pneumonia or bronchiolitis)
Oxygen saturation < 95% on air*
Apnoea or grunting
Moderate or severe chest indrawing
Oxygen saturations < 90% on air*
Colour
Pallor reported by parent/carer
Pale/mottled/ashen/blue
Activity
No response to normal social cues
Awakes only with prolonged stimulation
Decreased activity
No response to social cues
Unable to be roused, or if rousable does not stay awake
Appears ill to healthcare professional
Hydration/feeding
Poor feeding in infants (less than 50% of normal fluid intake in preceding 24 hours)
Dry mucous membrane
Reduced urine output
Capillary refill time > 3 seconds
Reduced skin turgor
Temperature
Fever > 5 days duration
Age < 3 months and temperature > 38°C
Age 3–6 months and temperature > 39°C
* May not be available in primary care.
† Activity and appearance are highly subjective and are considered poor markers of severity by some experts.
  • A child is considered to be at low risk if no features of intermediate or high risk are present.
  • Note: risk is higher in young infants, infants with syndromes or who were premature, and in children with any significant medical history, such as chronic lung disease or congenital heart disease. These additional factors should be considered before deciding on the level of risk.
  • Assess the ability of the child's carers to cope with the ill child.

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