Bulletin of the World Health Organization

Validation of an Integrated Management of Childhood Illness algorithm for managing common skin conditions in Fiji

Andrew C Steer, Lisi V Tikoduadua, Emmalita M Manalac, Samantha Colquhoun, Jonathan R Carapetis & Carolyn Maclennan

Volume 87, Number 3, March 2009, 173-179

Table 3. Sensitivity, specificity and agreement with paediatrician diagnosis for IMCI algorithm applied by nurses in two clinics in Fiji to identify skin problems and classify impetigo among children

Nurse No. children seen Identification of a skin problem
 Impetigo
Sensitivity, in % Specificity, in % Agreement, in % Kappa Sensitivity, in % Specificity, in % Agreement, in % Kappa
A 39 95.8 86.7 92.3 0.84 66.7 90.0 87 0.5
B 9 100 75 88.9 0.77 75 100 80 0.55
C 18 100 66.7 94.4 0.77 66.7 88.9 80 0.57
D 18 100 100 100 1 40 100 75 0.44
E 19 100 100 100 1 66.7 100 91 0.74
F 15 100 100 100 1 100 100 100 1
G 18 100 100 100 1 75 85.7 66 0.61
H 55 97.4 75 90.9 0.77 75.0 61.5 82 0.32
I 17 100 100 100 1 50 75 83 0.25
J 40 100 100 100 1 80 88.2 86 0.6
Total 248 98.7 91.2 96.0 0.91 70.0 83.8 79 0.53
Mean 24.8 99.3 90.3 96.7 0.9 69.5 88.9 83 0.56

IMCI, Integrated Management of Childhood Illness.