BMS Score: Validated for children (29d–19y) with CSF pleocytosis. Identifies very low-risk cases to reduce unnecessary hospital stay and antibiotics.
Positive CSF Gram Stain
2 Pts
CSF ANC ≥ 1,000 cells/µL
1 Pt
CSF Protein ≥ 80 mg/dL
Blood ANC ≥ 10,000 cells/µL
History of Seizure
Risk Stratification
Risk of bacterial meningitis < 0.1%. Potential candidate for careful observation.