Table 3

Positive discriminators for children with serious bacterial infection (n=131)

MTS urgency classification of SBI
Positive discriminator*ImmediateVery urgentUrgentStandardNon-urgentTotal
General
 Significant medical history0505
 Medical history other0011
 Significant respiratory history0303
 Recent problem0077
 Fever2725456
Pain
 Pain27514
 Pain on joint movement0101
Respiratory
 Wheeze0101
 Chest infection0055
 Unable to talk in sentences0101
 Very low SaO23003
 Low SaO20303
 Low PEFR0101
 Increased work of breathing160016
Gastro-intestinal
 Signs of dehydration0202
 Vomiting0022
 Passing fresh or altered blood (in stool)1001
Neurological
 Signs of meningism1001
 Altered level of consciousness1001
 Recent reduced visual acuity0101
Cutaneous
 Purpura1001
 Facial oedema1001
Missing4 (3%)
Total§053 (40%)50 (38%)24 (18%)0131 (100%)
  • * Discriminators as used in the modified first edition of the MTS.18

  • Urgency distribution of children with the discriminator ‘pain’ depends on the severity of pain and/or the presence of itch in specific flowcharts in the modified first edition of the MTS.18

  • Urgency distribution of children with the discriminator ‘fever’ depends on age in specific flowcharts in the modified first edition of the MTS.18

  • MTS, Manchester triage system; PEFR, peak expiratory flow rate; SaO2, oxygen saturation; SBI, serious bacterial infection.