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Adapted Centor Score for Streptococcal Pharyngitis
Dec 21, 2024
•
Mark Morgan
categories:
otolaryngology
infectious disease
This is a sore throat decision tool.
Adapted Centor Score for Streptococcal Pharyngitis
No (0 points)
YES (1 point)
<-- History of or measured temperature greater than or equal to 100.4 F
Cough is present (0 points)
COUGH IS ABSENT (1 point)
<-- Presence of coughing
No (0 points)
YES (1 point)
<-- Tender anterior cervical nodes
No (0 points)
YES (1 point)
<-- Tonsillar swelling or exudates
Less than 15 years (1 point)
15 to 45 years (0 points)
Over 45 years (-1 point)
<-- Age
Score -->
score
score1=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age)
Result –->
interpretation
score2=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age);score2>3?'55% Strep throat - Antibiotic therapy recommended':score2>1?'29% Strep throat - Rapid test or delayed prescription recommended':'12% Strep throat - Symptomatic therapy only is recommended'
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reference:
#1
McIsaac WJ, Goel V, To T, Low DE. The validity of a sore throat score in family practice. CMAJ. 2000 Oct 3;163(7):811-5.
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