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Table 1 2005 GoK clinical classification and recommended antibiotic treatment of children with cough and/or difficulty breathing

From: Experience developing national evidence-based clinical guidelines for childhood pneumonia in a low-income setting - making the GRADE?

Syndrome

Clinical criteria

Recommended antibiotic treatment

Non-severe pneumonia

Rapid breathing:

(≥ 50 if 2 - 11 months)

(≥ 40 if 12 - 59 months)

Out patient with oral cotrimoxazole

Severe pneumonia

lower chest indrawing and HIV-unexposed

Inpatient treatment with IV/IM benzyl penicillin monotherapy)

Very severe pneumonia

Unable to drink, central cyanosis, altered level of consciousness, head nodding, grunting and HIV-exposed

Inpatient treatment with IV/IM benzyl penicillin) and gentamicin combination therapy OR IV/IM chloramphenicol) (plus high dose cotrimoxazole, 8 mg/kg trimethoprim and 40 mg/kg of sulfamethoxazole 6 hourly I.V/oral if HIV-exposed)

  1. GoK - Government of Kenya