Rochester Criteria for Febrile Infant 0 to 60 days

Aka: Rochester Criteria for Febrile Infant 0 to 60 days, Rochester Criteria for Febrile Infants, Rochester Criteria for Infant with Fever, Febrile Infant Evaluation with Rochester Criteria

advertisement

II. Indications

  1. Assessment of febrile child (>38 C) aged less than 60 days
  2. Reassures against serious infection (Occult Bacteremia)

III. Criteria: Reassuring if all criteria are present

  1. Well appearing infant
  2. No skeletal, soft tissue, skin or ear infections
  3. Full term birth
  4. No prior illness
    1. No prior hospitalizations
    2. Not hospitalized longer than mother after delivery
    3. No prior Antibiotics
    4. No Hyperbilirubinemia
    5. No chronic or underlying illness
  5. Complete Blood Count normal
    1. White Blood Cell Count normal (5000 to 15,000/mm3)
    2. Band Neutrophils < 1,500/mm3
  6. Other Lab Findings
    1. If Diarrhea is present, Fecal Leukocytes <5 WBC/hpf
    2. Urine White Blood Cells <10 WBC/hpf

IV. Interpretation: Occult Bacteremia risk

  1. Well-appearing febrile infant risk: 7-9%
  2. All Rochester reassuring criteria present: <1%
    1. Supports discharge to home with close follow-up and no empiric Antibiotics

V. Efficacy

  1. Test Sensitivity: 92%
  2. Test Specificity: 50%
  3. Positive Predictive Value: 12.3%
  4. Negative Predictive Value: 98.9%

VI. References

  1. Dagan (1985) J Pediatr 107:855-60 [PubMed]
  2. Jaskiewicz (1994) Pediatrics 94:390-6 [PubMed]

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Rochester Criteria for Febrile Infant 0 to 60 days." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Examination

advertisement