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Rochester Criteria for Febrile Infants
Infant appears generally well
No evidence of focal infection
No prior illness
Born at term (≥37 weeks gestation)
No perinatal antibiotics
No unexplained hyperbilirubinemia
No previous hospitalizations
No chronic or underlying illness
Not hospitalized longer than mother after delivery
Lab values
WBC 5,000-15,000/mm³ (5-15 × 10⁹/L)
Band neutrophils ≤1,500/mm³ (≤1.5 × 10⁹/L)
Urine WBC <10 WBC/hpf
If diarrhea present, fecal leukocytes <5 WBC/hpf
Result :
Rochester Criteria for Febrile Infants is :
Not low risk
Perform further testing: CBC, UA, blood/urine cultures, and likely CSF testing.
References
Dagan R, Powell KR, Hall CB, Menegus MA. Identification of infants unlikely to have serious bacterial infection although hospitalized for suspected sepsis. J Pediatr. 1985;107(6):855-60.
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Disease A-Z
Health Topics
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
Pediatric Dermatology
View all topics
Featured Articles
Anal itching
Urticaria (hives) and angioedema
Diabetic ketoacidosis
Penile hygiene
Anal fissure
Circumcision
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
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Monitors
Pumps
Incubators
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