FeverPAIN Score for Strep Pharyngitis

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Step 1 of 5 20%

Fever in past 24 hours *

Step 1 of 5

Absence of cough or coryza *

Step 2 of 5

Symptom onset ≤3 days *

Step 3 of 5

Purulent tonsils *

Step 4 of 5

Severe tonsil inflammation *

Step 5 of 5

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    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:f5806.
    Little P, Moore M, Hobbs FDR, et al. PRImary care Streptococcal Management (PRISM) study. BMJ Open. 2013;3(10):e003943.
    NICE NG84. Sore throat (acute): antimicrobial prescribing. 2018.
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