Shapiro RuleLoading...Age, years≤ 650> 65+1Temp< 38.3C (101F)038.3-39.3C (101-102.9F)+1≥ 39.4C (103.0F)+3Suspect endocarditisNo0Yes+3Indwelling vascular catheterNo0Yes+2ChillsNo0Yes+1VomitingNo0Yes+1Hypotension (SBP < 90 mmHg)No0Yes+1WBC > 18,000 cell/mm3No0Yes+1Bands > 5%No0Yes+1Platelets < 150,000 cells/mm3No0Yes+1Creatinine > 2.0 mg/dlNo0Yes+1