Table 1. Malawi Ministry of Health case management guidelines for the diagnosis of pneumonia in children 0–59 months of age.
Fast breathing pneumonia(2–59 months of age) | Chest indrawing pneumonia(<2 months of age) | Chest indrawing pneumonia(2–59 months of age) | Danger sign pneumonia |
---|---|---|---|
Cough and/or difficulty breathing and | Cough and/or difficulty breathing and | Cough and/or difficulty breathing and | Cough and/or difficulty breathing and |
Fast breathing for age1 and | Lower chest indrawingor | Lower chest indrawing and | At least one danger sign2 |
No lower chest indrawing and no danger signs2 | Fast breathing for age1 and | No danger signs2 | May or may not have fast breathing for age1 or |
No danger signs2 | May or may not have fast breathing for age1 | Lower chest indrawing |
1≥60 breaths/minute if <2 months old, ≥50 breaths/minute 2–11 months old; ≥40 breaths/minute if 12–59 months old
2Danger signs include: central cyanosis; severe respiratory distress (grunting, head nodding, severe chest indrawing), stridor in a calm child, a general danger sign (inability to drink and/or breastfeed, lethargy or unconscious, convulsions), apnea (if 0–2 months of age)