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Rochester Criteria for Identifying Febrile Infants at Low Risk for Serious Bacterial Infection
1- Infant appears generally well
2- Infant has been previously healthy:
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Born at term (>/=37 weeks of gestation)
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No perinatal antimicrobial therapy
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No treatment for unexplained hyperbilirubinemia
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No previous antimicrobial therapy
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No previous hospitalization
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No chronic or underlying illness
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Not hospitalized longer than mother
3- Infant has no evidence of skin, soft tissue, bone, joint or ear infection
4- Infant has these laboratory values:
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White blood cell count of 5,000 to 15,000 per mm3 (5 to 15 x 109 per L)
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Absolute band cell count of </=1,500 per mm3 (</=1.5 x 109 per L)
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Ten or fewer white blood cells per high-power field on microscopic examination of urine
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Five or fewer white blood cells per high-power field on microscopic examination of stool in infant with diarrhea
Related Criteria
Definition
and Causes of Apparent
Life-Threatening Events (ALTE)
Causes of Bacteraemia and Meningitis in Young Children
Clinical and Laboratory "Low Risk" Criteria for Children Younger Than 3 Months with Fever and No Focus of Infection
Diagnostic
Criteria for Cystic Fibrosis
(CF)
Modified
Bell´s Staging Criteria for
Necrotizing Enterocolitis (NEC)
More
References:
1. Jaskiewicz JA, McCarthy CA, Richardson AC, White KC, Fisher DJ, Dagan R, Powell KR. Febrile infants at low risk for serious bacterial infection--an appraisal of the Rochester criteria and implications for management. Febrile Infant Collaborative Study Group. Pediatrics. 1994 Sep;94(3):390-6. [Medline]
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Nelson Textbook of Pediatrics, by R. Behrman
17th Pkg edition (June 29, 2004)
Current Pediatric Diagnosis & Treatment, by W. Hay
18 edition (September
15, 2006)
Handbook of Neonatal Intensive Care, by G. Merenstein
5th edition (April 26, 2002)
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