Rodwell Score Calculator (Neonatal Sepsis)

Hematologic scoring system for screening neonatal sepsis.

For educational and clinical reference. Not a substitute for medical judgment. See the medical disclaimer.
Score
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Interpretation
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References

  1. Rodwell RL, Leslie AL, Tudehope DI. Early diagnosis of neonatal sepsis using a hematologic scoring system. J Pediatr. 1988;112(5):761-767.

How to use

  1. Review the CBC and tick each abnormal criterion.
  2. The Rodwell score (0–7) and sepsis risk update instantly.
  3. Use alongside clinical findings and blood cultures.

Frequently asked questions

What is the Rodwell score?

A 7-item hematologic scoring system to screen for neonatal sepsis using CBC parameters. Score ≥ 3 has good sensitivity for sepsis.

How does it compare to blood culture?

Blood culture remains the gold standard. Rodwell helps to risk-stratify when culture results are pending, especially in well-appearing infants.

Should it replace empiric antibiotics in suspected sepsis?

No — empiric antibiotics should still be started in any neonate with strong clinical suspicion or unstable vital signs, regardless of Rodwell score.

When are I:T and I:M ratios reliable?

After 4 hours of life, when leukocyte counts have stabilized post-birth.

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