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Table 7 Classification of ARLI, severe ALRI and very severe ALRI in children from 2 months to 5 years of age

From: Respiratory viral infections detected by multiplex PCR among pediatric patients with lower respiratory tract infections seen at an urban hospital in Delhi from 2005 to 2007

Signs Classify as
Fast breathing as per following criteria according to age ALRI
-- age less than 2 months: ≥ 60/minute  
-- age 2–11 months: ≥ 50/minute  
-- age 1–5 years: ≥ 40/minute.  
Above symptoms with: Severe ALRI
-- Chest indrawing  
-- Stridor  
-- Nasal flaring  
-- Grunting  
Symptoms of severe pneumonia with: Very severe ALRI
-- central cyanosis  
-- inability to breastfeed or drink  
-- vomiting everything  
-- convulsions, lethargy or unconsciousness  
-- severe respiratory distress.  
  1. Adapted from POCKET BOOK of Hospital Care for Children Guidelines for the Management of Common Illnesses with limited resources
  2. ISBN 92 4 154670 0 (NLM classification: WS 29)