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Table 3 WHO criteria for severe pneumonia

From: Impact of systematic early tuberculosis detection using Xpert MTB/RIF Ultra in children with severe pneumonia in high tuberculosis burden countries (TB-Speed pneumonia): a stepped wedge cluster randomized trial

MANDATORY

PLUS ≥ 1 of the following

Cough OR difficulty in breathing

Peripheral oxygen saturation < 90%

Central cyanosis

Severe respiratory distress

Grunting

Nasal flaring

Very severe chest indrawing

Signs of pneumonia (tachypnea OR chest indrawing) AND at least one danger signs (a to f)

(a) Inability to breastfeed or drink

(b) Persistent vomiting

(c) Lethargy or reduced level of consciousness

(d) Convulsions

(e) Stridor in calm child

(f) Severe malnutrition