Table 3. Sensitivity, specificity and agreement with paediatrician diagnosis for IMCI algorithm applied by nurses in two clinics in Fiji to identify skin problems and classify impetigo among children.

Nurse	No. children seen		Identification of a skin problem									Impetigo
			Sensitivity, in %		Specificity, in %		Agreement, in %		Kappa			Sensitivity, in %		Specificity, in %		Agreement, in %		Kappa
A	39		95.8		86.7		92.3		0.84			66.7		90.0		87		0.5
B	9		100		75		88.9		0.77			75		100		80		0.55
C	18		100		66.7		94.4		0.77			66.7		88.9		80		0.57
D	18		100		100		100		1			40		100		75		0.44
E	19		100		100		100		1			66.7		100		91		0.74
F	15		100		100		100		1			100		100		100		1
G	18		100		100		100		1			75		85.7		66		0.61
H	55		97.4		75		90.9		0.77			75.0		61.5		82		0.32
I	17		100		100		100		1			50		75		83		0.25
J	40		100		100		100		1			80		88.2		86		0.6
Total	248		98.7		91.2		96.0		0.91			70.0		83.8		79		0.53
Mean	24.8		99.3		90.3		96.7		0.9			69.5		88.9		83		0.56

IMCI, Integrated Management of Childhood Illness.