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. Author manuscript; available in PMC: 2017 Nov 1.
Published in final edited form as: Emerg Med Clin North Am. 2016 Nov;34(4):917–942. doi: 10.1016/j.emc.2016.06.013

Table 5.

The Rochester Criteria for identifying the febrile neonate at low risk for Serious Bacterial Infection (SBI)

Rochester Criteria

  1. Infant appears generally well

  2. Infant has been previously healthy:

    • -

      born at≥ 37 wks gestation

    • -

      did not receive perinatal antimicrobial therapy

    • -

      was not treated for unexplained hyperbilirubinemia

    • -

      had not yet received antimicrobial agents

    • -

      had not been previously hospitalized

    • -

      had no chronic or underlying illness

    • -

      was not hospitalized longer than the mother

  3. No evidence of skin, soft tissue, bone, joint, or ear infection.

  4. Laboratory values:

    • -

      WBC between > 5,000 and < 15,000/mm3

    • -

      absolute band count ≤ 1500/mm3

    • -

      ≤ 10 WBC per high-power field on urine micro

    • -

      ≤ 5 WBC per high-power field in microscopic examination of stool smear for infants presenting with diarrhea

WBC = white blood cell

Data from Pantell RH., Newman TB., Bernzweig J., et al. Management and outcomes of care of fever in early infancy. JAMA 2004;291(10):1203–12