Table 2.
Characteristics of included studies
Study | Design | Setting; Country | Number of infants | Age range | Inclusion criteria | Exclusion criteria | Diagnostic reference standard | Common diagnoses | Mortality/1000 |
---|---|---|---|---|---|---|---|---|---|
YICSSG13 | Prospective, consecutive | OutpatientBangladesh, India, Pakistan, Bolivia,South Africa, Ghana | 0–6 days: 31777–59 days: 5712 | <60 days | Infants <60 days brought to the hospital or outpatient clinic with an acute illness | Well baby visits, non-resident in study area, previous enrolment in study, repeat episode of same illnessNeed for immediate cardiopulmonary resuscitation, hospitalisation in the previous 2 weeks (except for delivery),congenital malformation | Expert paediatrician backed up with laboratory data (eg, blood, CSF, chest radiography, pulse oximetry) | Sepsis, Pneumonia,Meningitis | 0–6 days:Range: 0–1207 to 60 days:Range: 0–70 |
English et al4 | Prospective, consecutive | Outpatient / InpatientKenya | 1236 | <60 days | Hospital-based birth cohort weighing ≥1.5 kgAll infants aged <90 days admitted to hospital | Not reported | Admitting doctor backed up with simple diagnostic tests (full blood count, blood culture, lumbar puncture, chest x-ray) | Pneumonia, Meningitis, Prematurity, Sepsis,Acute respiratory infections,Skin infections, Purulent conjunctivitis | 0–6 days: 3207–60 days: 70 |
Weber et al6 | Prospective, consecutive | Hospitals or outpatient clinicsEthiopia,The Gambia, Papua New Guinea, The Philippines | 3303 | <60 days | Infants <91 days with possible acute infections | Infants with congenital heart disease and hypoxemia | Expert paediatrician backed up with laboratory data (eg, blood culture, chest radiograph, lumbar puncture, pulse oximetry) | Pneumonia, Hypoxaemia, Bacteremia, Meningitis | 0–59 days: 59 |
Dukeet al12 | Prospective, consecutive | Outpatient clinicPapua New Guinea | 511 | <60 days | All sick young infants presenting to rural health centres | Not reported | Mortality outcome following a review of primary healthcare workers' history taking and clinical examination | Neonatal sepsis, Pneumonia, Malaria | 0–59 days: 59.8 |
Banget al11 | Prospective, consecutive | CommunityIndia | 3567 | <28 days | All neonates born in study villages | Not reported | Mortality outcome judged by a neonatologist as due to sepsis | ‘Sepsis’ (defined as sepsis, meningitis, pneumonia) | 0–28 days: 51.2 |
CSF, cerebrospinal fluid, YICSSG, Young Infants Clinical Signs Study Group.