FeverPAIN Score for Streptococcal Pharyngitis

Allergy & Otolaryngology, Infectious Disease, Pediatrics
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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'"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/24114306" target="_blank">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.</a>[/html][/conditional]
FeverPAIN Score for Streptococcal Pharyngitis
Note: Applies to children older than 5 and adults.
<-- Fever in previous 24 hours
<-- Purulent tonsils
<-- Attend rapidly (3 days or less)
<-- Inflamed tonsils (severe)
<-- No cough/coryza
Score --> numberscore1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5) / 5
Result -->; interpretationscore2=(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'

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