Fig. 1

Pragmatic clinical algorithm for the management of children presenting to hospital with acute respiratory symptoms^a

ANC – absolute neutrophil count; CXR – chest radiograph; FBC – full blood count; CRP: C reactive protein; SpO2—peripheral oxygen saturation; WHO – World Health Organization

^aIncorporating study findings, existing WHO guidance and previous findings from Vietnam that used CRP values to guide rational antibiotic use [11]. ^bIncluding inability to drink or breastfeed, vomiting everything, lethargic or reduced level of consciousness, convulsions, respiratory distress (grunting or nasal flaring), severe stridor, severe malnutrition. ^cAs per WHO recommendation [12]. ^dAdmit and consider antibiotics if any deterioration or relevant clinical concern