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Table 5 Level II primary interventions (Ellis score) and their corresponding appropriate interventions ranked by Oxford classification*

From: Audit of therapeutic interventions in inpatient children using two scores: are they evidence-based in developing countries?

Diagnosis

Appropriate therapeutic intervention

Oxford classification

Reference

Severe dehydration

IV 20 ml/Kg, 30–80 ml/Kg 3–4 hours

D{5}, B{2b}

20

Severe dehydration

IV 20 ml/Kg, 30–80 ml/Kg 3–4 hours

D{5}, B{2b}

20

Moderate dehydration

30–80 ml/Kg 3–4 hours (ORS)

B{2b}

20

Moderate dehydration

30–80 ml/Kg 3–4 hours (ORS)

B{2b}

20

Moderate dehydration

30–80 ml/Kg 3–4 hours (ORS)

B{2b}

20

Mild dehydration

30–50 ml/Kg 3–4 hours (ORS)

B{2b}

20

Severe dehydration

IV 20 ml/Kg, 30–80 ml/Kg 3–4 hours

D{5}, B{2b}

20

CA Pneumonia (<5 years)

Ampicillin/Chloramphenicol/Ceftriaxone

D{5}

21

CA Pneumonia (<5 years)

Ampicillin/Chloramphenicol/Ceftriaxone

D{5}

21

CA Pneumonia (<5 years)

Ampicillin/Chloramphenicol/Ceftriaxone

D{5}

21

CA Pneumonia (>5 years)

Penicillin G/Ceftriaxone/Cefuroxime

D{5}

21

CHF

Fluid restriction, Spironolactone, Captopril

D{5}, B{2b}, B{1a}

22, 23, 24

CHF

Fluid restriction, Spironolactone, Captopril

D{5}, B{2b}, B{1a}

22, 23, 24

CHF

Fluid restriction, Spironolactone, Captopril

D{5}, B{2b}, B{1a}

22, 23, 24

Haemophilia A

Factor VIII/Cryoprecipitate

D{5}

25

Cyanotic crisis

Meperidine

D{5}

26

Nosocomial pneumonia

Broad spectrum antibiotic therapy

D{5}

27

Vaso-occlusive crisis (SCA)

Ketorolac

C{2b}

28

Dilated cardiomyopathy

Digoxin-Furosemide, Captopril

D{5}, B{2b}

29, 30

Dilated cardiomyopathy

Digoxin-Furosemide, Captopril

D{5}, B2b}

29, 30

Status epilepticus

Diazepam – Phenytoin

B{2a}

31, 32

Bacterial meningitis

Ceftriaxone

C

33

Dysenteric acute diarrhoea

Ampicillin/Ceftriaxone

B{3b}

34

Invasive acute diarrhoea

Ampicillin/Ceftriaxone

B{3b}

34

Recurrent UTI

Empirical antibiotic therapy

C

35

Mild acute pancreatitis

Enteral feeding, Antibiotic, H2 Antagonists

D{5}

36, 37, 38

Hydrocarbon ingestion

Nil per os – Low fat diet

D{5}

39, 40

PSVT

Adenosine

B{1b}

41

Aspiration pneumonia

Penicillin/Clindamycin

A{1b}

42

Post infectious cerebellitis

Intravenous immunoglobulin

C4

43

  1. *Diagnoses are the same as in Table 4. CA: community acquired; CHF: congestive heart failure; SCA: sickle-cell anaemia; IV: intravenous; ORS: oral rehydration solution; PSVT: paroxysmal supraventricular tachycardia.