When signs and symptoms should raise suspicion for PCAP?
Cough or Fever
Any of the ff positive predictors of radiographically-confirmed pneumonia:
3 months to 12 months old: ≥50 breaths per minute
>1 year old to 5 years old: ≥40 breaths per minute
>5 years to 12 years old: ≥30 breaths per minute
>12 years old: ≥20 breaths per minute
b. Retractions or chest indrawing
c. Nasal flaring
d. O2 saturation <95% at room air
Auscultatory lung findings such as decreased breath sounds, crackles or rales, wheeze and rhonchi were not included due to their low sensitivity (<80%) or positive likelihood ratio (<2) for diagnosing pneumonia mainly due to interobserver variability.
Risk Stratification of PCAP
No respiratory signs
No circulatory signs