Rochester Low-Risk Criteria: Clinical Guide

Clinical guide to Rochester Low-Risk Criteria including calculation, interpretation, limitations and references.

Classifies selected febrile infants aged 60 days or younger using the original Rochester low-risk criteria.

Overview

Classifies selected febrile infants aged 60 days or younger using the original Rochester low-risk criteria.

Clinical Significance

Use this result as structured clinical decision support within the validated population and setting.

When to Use

  • Use when this published instrument is clinically appropriate and all required data are available.

How It Is Calculated

  • MedicalC applies the published item weights, equation and interpretation bands.

Interpretation

  • Interpret the result alongside examination, investigations, trajectory and current guidance.

Worked Example

Enter verified values for every field. MedicalC applies the published method and displays the resulting category.

Limitations

  • Performance depends on correct eligibility and measurement.
  • Thresholds support rather than replace clinical judgement.

Clinical Pearls

  • Record the individual inputs as well as the total result.
  • Reassess when clinical status changes.

Common Mistakes

  • Using measurements from the wrong time point.
  • Treating a prediction score as a diagnosis or mandatory treatment instruction.

Frequently Asked Questions

What does this tool calculate?

Classifies selected febrile infants aged 60 days or younger using the original Rochester low-risk criteria.

Can the result be used alone?

No. It must be integrated with a complete clinical assessment.

References

  1. Dagan R et al. J Pediatr. 1985;107:855-860. — Primary or supporting reference for the implemented method.

Reviewed by: MedicalC Clinical Editorial Team
Last reviewed: July 2026

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