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FeverPAIN Clinical Score

Public Health England’s management of infection guideline recommends the use of FeverPAIN score in the assessment of acute sore throats.

The score consist of five items:
Fever in last 24 hours
Purulence
Attend rapidly under 3 days
Inflamed tonsils
No cough or coyza

Score 0-1 = 13-18% streptococci, use NO antibiotic strategy
Score 2-3 = 34-40% streptococci, use 3 day back-up antibiotic prescription strategy
Score ≥4 = 62-65% streptococci, use immediate antibiotic if severe, or 48 hour short back-up prescription