Clinical variable | Score* | |
---|---|---|
Developmental delay | No delay | 0 |
Delay | 4 | |
Risk factor for infection | No risk factor | 0 |
Risk factor present | 2 | |
State variation | Eyes open | 0 |
Eyes close briefly | 1 | |
Falls asleep | 2 | |
Temperature | <37.5°C | 0 |
37.5–38.4°C | 1 | |
≥38.5°C | 2 | |
Capillary refill time (s) | <2 | 0 |
≥2 | 1 | |
Hydration status | Well hydrated | 0 |
Dry mucous membranes | 2 | |
Reduced skin turgor | 4 | |
Respiratory rate | Not tachypnoeic | 0 |
Tachypnoeic | 1 | |
Hypoxia | Not hypoxic | 0 |
Mild hypoxia | 1 | |
Severe hypoxia | 2 |
* Score indicates the sum of scores for each clinical variable (maximum score 18). Table 5 shows risks of serious bacterial infection stratified by SBI score.