Guideline decision tool · Neonatology
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Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework) — free guideline decision tool

The Kaiser Permanente early-onset sepsis (EOS) framework combines perinatal risk factors with the infant's clinical examination to stratify management in newborns ≥ 34–35 weeks.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Gestational age at birth (applies to ≥ 34–35 wk)38 wk
Maximum maternal intrapartum temperature38.0 °C
Duration of rupture of membranes12 h
Maternal GBS statusPositive
Intrapartum antibioticsGBS-specific (penicillin/ampicillin) ≥ 2 h
Neonatal clinical gradeEquivocal

→Management tierManagement follows current guidelines and local protocols; this page gives no management recommendation.

  • Perinatal factors:GA 38 wk, maximum maternal temp 38 °C (maternal fever ≥ 38 °C, increased EOS risk), ROM 12 h, GBS positiveManagement follows current guidelines and local protocols; this page gives no management recommendation.GBS-specific ≥ 2 h
  • Management recommendation:Equivocal
  • Management-tier thresholds:A change in clinical status warrants re-evaluation/recalculation within 24 h
Gestational age at birth (applies to ≥ 34–35 wk)38 wk
Maximum maternal intrapartum temperature38.0 °C
Duration of rupture of membranes12 h
Maternal GBS statusNegative
Intrapartum antibioticsNone / ≤ 2 h before delivery
Neonatal clinical gradeWell-appearing

→Management tierTier by risk value

  • Perinatal factors:GA 38 wk, maximum maternal temp 38 °C (maternal fever ≥ 38 °C, increased EOS risk), ROM 12 h, GBS negativeManagement follows current guidelines and local protocols; this page gives no management recommendation.none/inadequate
  • Management recommendation:Well-appearing
  • Management-tier thresholds:A change in clinical status warrants re-evaluation/recalculation within 24 h

Common questions

What is Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework)?

The Kaiser Permanente early-onset sepsis (EOS) framework combines perinatal risk factors with the infant's clinical examination to stratify management in newborns ≥ 34–35 weeks.

How is Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework) calculated? What is the core formula?

clinical illness.

When is Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework) used?

Management follows current guidelines and local protocols; this page gives no management recommendation.

What are the key clinical points for Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework)?

The exact quantitative risk per 1000 live births requires the official online calculator; this framework does not substitute a specific risk number.

What are the limits and cautions when using Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework) upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is Neonatal Early-Onset Sepsis Risk (Kaiser EOS Framework) calculated in practice? Can you show a worked example?

Inputs: Gestational age at birth (applies to ≥ 34–35 wk) 38 wk, Maximum maternal intrapartum temperature 38.0 °C, Duration of rupture of membranes 12 h, Maternal GBS status Positive, Intrapartum antibiotics GBS-specific (penicillin/ampicillin) ≥ 2 h, Neonatal clinical grade Equivocal → Result: Management tier Management follows current guidelines and local protocols; this page gives no management recommendation.(Perinatal factors: GA 38 wk, maximum maternal temp 38 °C (maternal fever ≥ 38 °C, increased EOS risk), ROM 12 h, GBS positiveManagement follows current guidelines and local protocols; this page gives no management recommendation.GBS-specific ≥ 2 h, Management recommendation: Equivocal, Management-tier thresholds: A change in clinical status warrants re-evaluation/recalculation within 24 h) Inputs: Gestational age at birth (applies to ≥ 34–35 wk) 38 wk, Maximum maternal intrapartum temperature 38.0 °C, Duration of rupture of membranes 12 h, Maternal GBS status Negative, Intrapartum antibiotics None / ≤ 2 h before delivery, Neonatal clinical grade Well-appearing → Result: Management tier Tier by risk value(Perinatal factors: GA 38 wk, maximum maternal temp 38 °C (maternal fever ≥ 38 °C, increased EOS risk), ROM 12 h, GBS negativeManagement follows current guidelines and local protocols; this page gives no management recommendation.none/inadequate, Management recommendation: Well-appearing, Management-tier thresholds: A change in clinical status warrants re-evaluation/recalculation within 24 h)

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The Kaiser Permanente early-onset sepsis (EOS) framework combines perinatal risk factors with the infant's clinical examination to stratify management in newborns ≥ 34–35 weeks.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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