Bacterial Meningitis Score for Children

CSF Gram stain positive
CSF ANC ≥1,000 cells/µL
CSF protein ≥80 mg/dL (800 mg/L)
Peripheral blood ANC ≥10,000 cells/µL
Seizure at (or prior to) initial presentation

Result :
Bacterial Meningitis Score for Children : 0 Points
Aseptic meningitis very likely



Use in patients aged 29 days to 19 years with CSF WBC ≥10 cells/μL. Do not use if patient is critically ill, recently received antibiotics, has a VP shunt or recent neurosurgery, is immunosuppressed, or has other bacterial infection requiring antibiotics (including Lyme disease).


  • Nigrovic LE, Kuppermann N, Macias CG, et al. Clinical prediction rule for identifying children with cerebrospinal fluid pleocytosis at very low risk of bacterial meningitis. JAMA. 2007;297(1):52-60.
  • Nigrovic LE, Kuppermann N, Malley R. Development and validation of a multivariate predictive model to distinguish bacterial from aseptic meningitis in children in the post-haemophilus influenza era. Pediatrics. 2002; 110: 712-9.

Legal Notices and Disclaimer

All Information contained in and produced by the Pediatric Oncall system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgement or guide individual patient care in any manner.
Copyright © 2001 - 2024 Pediatric Oncall All Rights Reserved.
Disclaimer: The information given by is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0