Lab-score (Serious Bacterial Infection)

Lab-score — a 0-9 score for the risk of serious bacterial infection in young children with fever without source, from CRP band (< 40 mg/L 0 / 40-99 +2 / >= 100 +4), procalcitonin band, and a positive urine dipstick.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

CRP band
CRP 40-99 mg/L (+2)
Procalcitonin band
PCT 0.5-1.99 ng/mL (+2)

Result: Lab-score 4 of 9 — high risk of serious bacterial infection (>= 3).

The tool opens with these values already filled in. Replace them with your own.

What the result means

< 3
Low risk of serious bacterial infection.
>= 3
High risk of serious bacterial infection (derivation sensitivity ~94%, specificity ~81%). A risk band, not a sepsis-workup, antibiotic, or admission order.

What you enter

  • CRP band (< 40 / 40-99 / >= 100 mg/L)
  • Procalcitonin band (< 0.5 / 0.5-1.99 / >= 2.0 ng/mL)
  • Urine dipstick positive (leukocyte esterase and/or nitrite) (+1)
How this is calculated

Galetto-Lacour A, Zamora SA, Gervaix A. A score identifying serious bacterial infections in children with fever without source. Pediatr Infect Dis J. 2008;27(7):654-656. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.