Table 3.

Low-risk criteria for SCD and fever

Well-appearing, hemodynamically stable
Fever <40°C
Age ≥6 months
WBC 5 to 30 × 109/L, platelet count ≥100 × 109/L and not significantly lower than baseline, Hb ≥60 g/L and not >20 g/L lower than baseline (admit when baseline is unknown)
No respiratory distress or CXR abnormality
No clinical findings suggestive of meningitis, osteomyelitis, septic arthritis, ACS, splenic sequestration
No history of pneumococcal sepsis or meningitis
No significant pain or dehydration
Initial visit for the episode
Safe for discharge, ability for close follow-up

ACS Acute chest syndrome; CXR Chest x-ray; Hb Hemoglobin; WBC White blood cell.

Data drawn from reference (1).