Table 2.
Study | Design | Setting; Country | Number of infants |
Age range | Inclusion criteria |
Exclusion criteria | Diagnostic reference standard |
Common diagnoses |
Mortality/1000 |
---|---|---|---|---|---|---|---|---|---|
YICSSG 13 | Prospective, consecutive |
Outpatient Bangladesh, India, Pakistan, Bolivia, South Africa, Ghana |
0–6 days: 3177 7–59 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 illness Need 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: 0–120 7 to 60 days: Range: 0–70 |
English et al 4 | Prospective, consecutive |
Outpatient/ Inpatient Kenya |
1236 | <60 days | Hospital-based birth cohort weighing ≥1.5 kg All 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: 320 7–60 days: 70 |
Weber et al 6 | Prospective, consecutive |
Hospitals or outpatient clinics Ethiopia, 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 |
Duke et al 12 | Prospective, consecutive |
Outpatient clinic Papua 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 |
Bang et al 11 | Prospective, consecutive |
Community India |
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.