What is already known on this topic?
- Early recognition of serious infection in acutely ill children presenting to hospital is crucial to improve outcome.
- Laboratory-based C reactive protein (CRP) testing is used in specialist settings to support diagnosis and management decisions of such children.
What this study adds?
- A point-of-care CRP test preceding clinical assessment can help stratify children into three risk groups.
- High-risk (CRP >75 mg/L) children could be prioritised immediately for further assessment and management by senior staff.
- 7 features in the intermediate and 11 features in the lower risk group further classify children as at risk of a serious infection or not.
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