Nursery/SCN · Kaiser EOS

Neonatal Sepsis Portal

Live access to the official Kaiser Permanente Early-Onset Sepsis (EOS) Calculator (2024 update).

Official Portal

Kaiser Permanente EOS Calculator

Kaiser's server blocks embedded display, so the calculator opens in a focused fullscreen tab. Validated for newborns ≥ 34 weeks gestation; includes the 2024 model update.

Launch Official EOS Calculator
  • • Model: Updated (2024)
  • • Incidence baseline: 0.50 / 1,000 live births
  • • Use only for infants ≥ 34 weeks gestational age
Step 2 · Enter Kaiser Result

EOS Score & Clinical Presentation

Infant Clinical Presentation
Paired Order Set

Rule-Out Sepsis Clinical Workup & Antibiotic Dosing

Use the EOS risk score above to guide the workup below. Risk score and orders stay together on this page.

Laboratory Workup
  • • Blood culture (minimum 1 mL) before antibiotics
  • • CBC with differential at 6–12 hours of life
  • • CRP at 12–24 hours (trend, not single value)
  • • Consider lumbar puncture if blood culture positive or clinical deterioration
  • • Urine culture only if > 24–48 hours of age or urinary anomaly
Observation & Monitoring
  • • Vitals with exam every 4 hours for the first 24 hours
  • • Escalate for temperature instability, respiratory distress, or poor feeding
  • • Reassess need for antibiotics at 36–48 hours with culture results
  • • Document serial exams — observation alone is appropriate for low-risk, well-appearing infants

Calculator hosted by Kaiser Permanente Division of Research. For clinical decision support only — verify all orders against your institution's guidelines.