Modified Centor Score - SOAPnote.org
Modified Centor Score
<-- History of fever or measured temperature > 100.4 degrees F
<-- Presence of coughing
<-- Tender anterior cervical nodes
<-- Tonsillar swelling or exudates
<-- Age
Score --> scorescore=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age)
Interpretation --> Risk of group A beta-hemolytic streptococcus is Risk and Recommendationscore=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age);score>3?'51 to 53%, consider empiric antibiotic treatment.':score>2?'28 to 35%, perform throat culture or rapid antigen detection testing and treat accordingly.':score>1?'11 to 17%, perform throat culture or rapid antigen detection testing and treat accordingly.':score>0?'5 to 10%, may forgo antibiotics OR may perform throat culture or rapid antigen detection testing and treat accordingly.':'1 to 2.5%, antibiotic treatment or further testing is not warranted.'

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