Clinical criteria for the diagnosis of sepsis
| IMCI criteria for severe bacterial infection* | WHO young infant study group† | |
|---|---|---|
| *Any of the signs listed implies high suspicion of serious bacterial infection. | ||
| †Each symptom or sign is associated with a score. The score indicates the probability of disease.14,15 | ||
| IMCI, Integrated Management of Childhood Illness. | ||
| Convulsions | X | X |
| Respiratory rate >60 breaths/min | X | X (divided by age group) |
| Severe chest indrawing | X | X |
| Nasal flaring | X | |
| Grunting | X | |
| Bulging fontanelle | X | |
| Pus draining from the ear | X | |
| Redness around umbilicus extending to the skin | X | |
| Temperature >37.7°C (or feels hot) or <35.5°C (or feels cold) | X | X |
| Lethargic or unconscious | X | X (not aroused by minimal stimulus) |
| Reduced movements | X | X (change in activity) |
| Not able to feed | X | X (not able to sustain suck) |
| Not attaching to the breast | X | |
| No suckling at all | X | |
| Crepitations | X | |
| Cyanosis | X | |
| Reduced digital capillary refill time | ||