Table 1 Components of the clinical guidance tool
On admission | - Antibiotics administered (4 regimens recommended) - Assessment of HIV-exposure with recommendations for HIV testing and cotrimoxazole prophylaxis - Assessment of nutritional status with documentation of feeding method implemented - Documentation of assessments performed, including blood culture, complete blood count and chest x-ray - Assessment of oxygen status with recommendations for supplemental oxygen - Assessment of the need for supportive care (shock, fever, wheezing, nasal secretions, maintenance fluids) with recommendations provided |
At 48 h | - Assessment of criteria for treatment failure with recommendations for switching antibiotic regimens |
Ongoing care | Assessment every 6 hours of: - Room air saturation - Chest indrawing - Respiratory rate |
Discharge | - Assessment of criteria for discharge - Documentation of oral regimen prescribed - Documentation of discharge instructions provided to the caregiver - Assessment of HIV-exposure status with recommendations for follow-up - Assessment of nutritional status with recommendations for follow-up |