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FeverPAIN Score for Streptococcal Pharyngitis
Sep 18, 2014
•
Mark Morgan
categories:
Pediatrics
Allergy & Otolaryngology
FeverPAIN Score for Streptococcal Pharyngitis
Note: Applies to children older than 5 and adults.
no
YES
<-- Fever in previous 24 hours
no
YES
<-- Purulent tonsils
no
YES
<-- Attend rapidly (3 days or less)
no
YES
<-- Inflamed tonsils (severe)
no
YES
<-- No cough/coryza
Score -->
number
score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)
/ 5
Result -->;
interpretation
score2=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score2&>3?'65% Strep throat - Antibiotic therapy recommended':score2>1?'40% Strep throat - Rapid test or delayed prescription recommended':'18% Strep throat - Symptomatic therapy only'
display/hide references
reference:
#1
Little P, Hobbs FD, Moore M, Mant D, Williamson I, McNulty C, Cheng YE, Leydon G, McManus R, Kelly J, Barnett J, Glasziou P, Mullee M; PRISM investigators. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). BMJ. 2013 Oct 10;347:f5806.
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