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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.