Table 3.

 Children not referred at first contact but with a final diagnosis of serious infection at hospital admission

Child	Age (years)	Duration of illness (h)	Temperature (°C)	Non-specific clinical features	Gut feeling something wrong	Working hypothesis at consultation	Final diagnosis
1	5.32	24	36.9	Drowsy, does not laugh, signs of upper respiratory tract infection, vomiting, decreased eating and drinking	Yes	Viral gastroenteritis and upper respiratory tract infection	Bacterial lymphangitis
2	3.23	5	38.8	Irritable, inconsolable, different crying, does not laugh	Yes	Viral syndrome	Pneumonia
3	1.44	48	38.8	Irritable, different crying, does not laugh, diarrhoea, cough, abnormal breathing, tachypnoea, dyspnoea	Yes	Viral syndrome (pneumonia?)	Pneumonia
4	1.04	5	—	Drowsy, inconsolable, different crying, does not laugh, signs of upper respiratory tract infection, decreased eating and drinking, cough, changed breathing, dyspnoea	Yes	Asthma attack	Pneumonia
5	3.24	72	38.5	Signs of upper respiratory tract infection, tummy ache	No	urinary tract infection and upper respiratory tract infection	Pyelonephritis
6	1.81	24	39.1	Irritable, inconsolable, does not laugh, signs of upper respiratory tract infection, vomiting, cough, somnolent, dyspnoea	No	upper respiratory tract infection	Pneumonia
7	2.38	120	40.0	None recorded	No	Pyelonephritis	Pyelonephritis
8	1.31	24	39.4	Diarrhoea, decreased eating and drinking	No	Viral gastroenteritis	Pyelonephritis
9	0.2	48	—	Signs of upper respiratory tract infection, cough, dyspnoea	No	upper respiratory tract infection	Pneumonia