Algorithm | Variables | Diagnostic Criteria | |
---|---|---|---|
 | History | Physical findings |  |
Original IMCI†Algorithm for Paediatric HIV | • Chest infection requiring hospital admission in the past 3 months | • Weight below 3rd centile | • Classify as suspected symptomatic HIV infection if 3 positive findings |
 | • > = 2 episodes of diarrhea in the past 3 months | • Poor weight gain (growth monitoring card) |  |
 | • Episode of persistent diarrhea (lasting 14 days) in the past 3 months | • Any enlarged lymph glands in more than one of the following sites: neck, axillary or groin |  |
 | • Fever > = 1 month | • Oral thrush extending to the back of the mouth or throat |  |
 | • Poor appetite |  |  |
 | • Chronic ear infection (14 days) |  |  |
 | • History or evidence of past or present herpes zoster |  |  |
 | • History or evidence of severe seborrheic dermatitis |  |  |
 | • History of past or present TB |  |  |
 | • Parent or sibling known to have TB |  |  |
 | • Parent or sibling known to be HIV-positive |  |  |
Improved IMCI Algorithm (South Africa adaptation) | • Pneumonia today§ | • Weight below 3rd centile | • Classify as suspected symptomatic HIV infection if 3 positive findings |
 | • History of weight loss¶ | • Poor weight gain (history or RTH card) |  |
 | • Persistent diarrhea now or in past 3 months | • Any enlarged lymph glands in more than one of the following; neck, axillae or groin |  |
 | • Ear discharge now or in the past | • Oral thrush |  |
 |  | • Parotid swelling |  |
Action Against Hunger Algorithm | • Ear discharge now or in the past |  | • When child presents with > = 3 criteria refer for further HIV support/care and health education |
 | • Enlarged lymph glands now |  |  |
 | • Pneumonia today or persistent cough > 1 month |  |  |
 | • Persistent diarrhea |  |  |
 | • Low weight gain¶ |  |  |
 | • Oral thrush |  |  |
 | • Marasmus or Marasmus/Kwashiokor |  |  |
 | • Fever for more than one month |  |  |
 | • Child is an orphan (one or both parents) |  |  |
 | • Child's parents are sick or one of siblings has died |  |  |