{"id":2515,"date":"2009-03-08T11:46:00","date_gmt":"2009-03-08T11:46:00","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pedroch\/"},"modified":"2025-05-14T19:10:28","modified_gmt":"2025-05-14T19:10:28","slug":"pedroch","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pedroch\/","title":{"rendered":"Rochester Criteria for Identifying Febrile Infants at Low Risk for Serious Bacterial Infection"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">The Rochester criteria were developed to identify febrile infants aged 60 days or younger at low-risk of bacterial infection and do not include cerebrospinal fluid (CSF) testing.<br \/>\n<!--more--><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">1- Infant appears generally well<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">2- Infant has been previously healthy:<\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">Born at term (&gt;\/=37 weeks of gestation)<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">No perinatal antimicrobial therapy<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">No treatment for unexplained hyperbilirubinemia<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">No previous antimicrobial therapy<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">No previous hospitalization<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">No chronic or underlying illness<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">Not hospitalized longer than mother<\/p>\n<\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">3- Infant has no evidence of skin, soft tissue, bone, joint or ear infection<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">4- Infant has these laboratory values:<\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">White blood cell count of 5,000 to 15,000 per mm<sup>3<\/sup> (5 to 15 x 10<sup>9<\/sup> per L)<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">Absolute band cell count of &lt;\/=1,500 per mm<sup>3<\/sup> (&lt;\/=1.5 x 10<sup>9<\/sup> per L)<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">Ten or fewer white blood cells per high-power field on microscopic examination of urine<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-left: 12pt; margin-top: 0pt; margin-bottom: 0pt;\">Five or fewer white blood cells per high-power field on microscopic examination of stool in infant with diarrhea<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\" style=\"margin-left: 27pt; text-indent: -18pt;\">1. Jaskiewicz JA, McCarthy CA, Richardson AC, White KC, Fisher DJ, Dagan R, Powell KR. Febrile infants at low risk for serious bacterial infection&#8211;an appraisal of the Rochester criteria and implications for management. Febrile Infant Collaborative Study Group. Pediatrics. 1994 Sep;94(3):390-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8065869\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Created: Jul 21, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[441],"tags":[1077,1076,1579,16,15,1578,1577,1576,672,331,266,267,1344,1575,667,767,1574,1580],"class_list":["post-2515","post","type-post","status-publish","format-standard","hentry","category-pediatrics","tag-bacterial","tag-bacteriana","tag-bajo-riesgo","tag-criteria","tag-criterios","tag-febril","tag-febrile","tag-identifying","tag-infantes","tag-infants","tag-infeccion","tag-infection","tag-infectious","tag-low","tag-pediatrics","tag-risk","tag-rochester","tag-serious"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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