FeverPAIN Score for Streptococcal Pharyngitis
FeverPAIN Score for Streptococcal Pharyngitis Note: Applies to children older than 5 and adults. [select name="Q1" value="no=0|YES=1"] <-- Fever in previous 24 hours [select name="Q2" value="no=0|YES=1"] <-- Purulent tonsils [select name="Q3" value="no=0|YES=1"] <-- Attend rapidly (3 days or less) [select name="Q4" value="no=0|YES=1"] <-- Inflamed tonsils (severe) [select name="Q5" value="no=0|YES=1"] <-- No cough/coryza Score --> [calc memo="number" value="score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)"] / 5 Result --> [calc memo="interpretation" value="score2=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score2>3?'65% Strep throat - Antibiotic therapy recommended':score2>1?'40% Strep throat - Rapid test or delayed prescription recommended':'18% Strep throat - Symptomatic therapy only'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link url="//www.ncbi.nlm.nih.gov/pubmed/24114306" memo="#1"] Little P, Hobbs FD, Moore M, Mant D, Williamson I, McNulty C, Cheng YE, Leydon G, McManus R, Kelly J, Barnett J, Glasziou P, Mullee M; PRISM investigators. 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 Oct 10;347:f5806. [/conditional]
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