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FeverPAIN Score (for Streptococcal Pharyngitis)

History

Cough or cold symptoms

History of fever in last 24 hours

Onset of illness (in days)

Examination

Inflamed tonsils

Pus on tonsils

Total FeverPAIN score

Probability of streptococcal pharyngitis

 

FeverPAIN scores of:

0–1: Associated with 13–18% isolation of streptococcus (close to background carriage rates).

2-3: Associated with 34-40% isolation of streptococcus.

≥4: Associated with 62–65% isolation of streptococcus.

 

Reference

Little P, Hobbs FDR, Moore M, et al. 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;347(oct10 3):f5806. doi:10.1136/bmj.f5806

Little P, Moore M, Hobbs FDR, et al. PRImary care Streptococcal Management (PRISM) study: identifying clinical variables associated with Lancefield group A β-haemolytic streptococci and Lancefield non-Group A streptococcal throat infections from two cohorts of patients presenting with an acute sore throat. BMJ Open. 2013;3(10):e003943. doi:10.1136/bmjopen-2013-003943