fever pain

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