Rochester Criteria (febrile infant)

Rochester criteria for the well-appearing febrile infant (Jaskiewicz 1994).

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

Example

Age <= 60 days
No
Term gestation and previously healthy
No
No focal infection on exam
No
WBC 5-15 x10^9/L
No
Bands <= 1.5 x10^9/L
No
Urine WBC <= 10/HPF
No
Stool WBC <= 5/HPF
No

Result: Rochester: 0 of 7 criteria met -> NOT low risk for SBI per Jaskiewicz 1994 (any failed criterion disqualifies).

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

What the result means

<7 criteria met
Not low risk per Jaskiewicz 1994 (any failed criterion disqualifies).
all 7 criteria met
Low risk for SBI per Jaskiewicz 1994.

What you enter

  • Age <= 60 days
  • Term gestation and previously healthy
  • No focal infection on exam
  • WBC 5-15 x10^9/L
  • Bands <= 1.5 x10^9/L
  • Urine WBC <= 10/HPF
  • Stool WBC <= 5/HPF (if diarrhea)
How this is calculated

Jaskiewicz JA, McCarthy CA, Richardson AC, et al. Febrile infants at low risk for serious bacterial infection -- an appraisal of the Rochester criteria and implications for management. Pediatrics. 1994;94(3):390-396. 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.