|
Demographic
|
Gender
|
Date of birth
|
|
Underlying diseases
|
Heart disease
|
Lung disease
|
| |
Tuberculosis
|
Asthma
|
| |
Pneumonia
|
HIV infection
|
| |
Others
| |
|
Medical history
|
Contact with tuberculosis
|
Previous influenza
|
| |
Prior treatment with antibiotics
|
Prior treatment for fever
|
| |
Date of first symptoms
| |
|
Clinical examination at enrollment
|
Weight
|
Height
|
| |
Arm circumference
|
Temperature
|
| |
Blood pressure
|
Breathing rate
|
| |
Arterial oxygen saturation
|
Cough
|
| |
Dyspnea
|
Lower chest indrawing
|
| |
Cyanosis
|
Pulmonary crackles
|
| |
Dullness to percussion of the thorax
|
Rhonchi
|
| |
Wheezing
|
Rasping
|
| |
Diminished breathing sounds
|
Convulsions
|
| |
Other pulmonary signs and symptoms
|
Rhinopharyngitis
|
| |
Prostration or lethargy
|
Conjunctivitis
|
| |
Otitis
|
Inability to drink
|
| |
Skin rash
|
Diarrhea
|
| |
Vomiting
|
Other signs
|
|
Radiological
|
Opacification
|
Abscess
|
|
findings
|
Interstitial syndrome
|
Pneumothorax
|
|
(cases only)
|
Alveolar infiltrate
|
Parenchymatous infiltrate
|
|
Vaccination (dates, number of doses)
|
Pneumococcal conjugate vaccine Influenza vaccine
|
Diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type B vaccine
|
|
During hospital stay
|
Antibiotics (dates, doses, duration)
|
Oxygen therapy
|
| |
Other drugs
|
Death
|
| |
Acute complications
|
Cause of death
|
| |
Recovery
| |
