Shapiro Rule
Indicates if an ED patient qualifies for a blood culture.
Determines if clinician should consider obtaining a blood culture based on symptoms and clinical findings.
Management
- If 1 major criterion or ≥2 minor criteria are fulfilled, a blood culture is recommended by the Shapiro Rule.
- However, no clinical rule should be used in isolation to determine patient management. Use your clinical judgment to determine if the results are applicable to your patient.
- Follow local sepsis and blood culture clinical guidelines for treatment.