Signs:

• No chest indrawing
and
• No fast breathing (less than 50 per minute if child 2-12 months of age or 40 per minute if child 1-5 years)

• No chest indrawing
and
• Fast breathing (50 per minute or more if child 2-12 months of age or 40 per minute if child 1-5 years)

• Chest indrawing

• Not able to drink
• Convulsions
• Abnormally sleepy or diffult to wake
• Stridor in calm child
or
• Severe undernutrition

Classify as:

No pneumonia: cough or cold

Pneumonia

Severe pneumonia

Very severe disease

Treatment:

• If coughing more than 30 days, refer for assessment
• Assess and treat ear problem or sore throat if present
• Assess and treat other problems
• Advise mother to give home care
• Treat fever if present

• Advise mother to give home care
• Give an antibiotic
• Treat fever if present
• Advise mother to return in 2 days for reassessment, or if the child is getting worse

• Refer urgently to hospital
• Give first dose of antibiotics
• Treat fever if present

(If referral is not possible, treat with an antibiotic and follow closely)

• Refer urgently to hospital
• Give first dose of antibiotics
• Treat fever if present
• If cerebral malaria is possible, give an antimalarial drug

Reassess in 2 days a child who is taking an antibiotic for pneumonia:

Improving

The same

Worse

Signs:

• Less fever
• Eating better
• Breathing slower

• Not able to drink
• Has chest indrawing
• Has other danger signs

Treatment:

• Finish 5 days of antibiotics

• Change antibiotic
or
• Refer

• Refer urgently to hospital