As disease progresses child will present with signs of increased work of breathing:
Tachyponea
Use of accessory muscles
Intercostal and subcostal recession
Wheeze
3 of 9
Consider as diagnosis if all of following present:
Persistent cough
Tachyponea or chest recession (or both)
Wheeze or crackles (or both)
4 of 9
Common symptoms:
Poor feeding normally after 3-5 days of illness
Apnoea without other clinical signs
Pyrexia (below 39 degrees)
5 of 9
Pneumonia should be considered if:
Child has high fever (over 39 degrees) and/or is presenting with
persistent crackles
6 of 9
Vulnerable groups predisposed:
Premature infants and infants under 3 months
Children with congenital heart or lung disease
Children who are immunocompromised
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Immediate referral if child showing severe signs of:
Respiratory distress
Apnoea
Clinical dehydration
Persistent oxygen saturation of less than 90% on air
8 of 9
Deterioration and red flag symptoms:
Worsening of respiratory symptoms -
Marked recession
Tracheal tug
Nasal flaring
Gasping
Reduced wet nappies and reduced fluid intake by more than 50% normal intake
Apnoeic episodes or cyanosis
Exhaustion
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