Table 1

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

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)


GoK - Government of Kenya

Agweyu et al. BMC Pediatrics 2012 12:1   doi:10.1186/1471-2431-12-1

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