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Primary Care · Emergency Medicine · Infectious Disease

FeverPAIN Score for Streptococcal Pharyngitis calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

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FeverPAIN score 0–1 (low, 13–18% streptococcal likelihood)

Band: FeverPAIN score 0–1 (low, 13–18% streptococcal likelihood)

Interpretation. FeverPAIN score 0–1 (low, 13–18% streptococcal likelihood)

Suggested management. Interpret only within the cited source population and criteria; use alongside complete clinical assessment.

FeverPAIN Score for Streptococcal Pharyngitis: 0 — FeverPAIN score 0–1 (low, 13–18% streptococcal likelihood). Interpretation: FeverPAIN score 0–1 (low, 13–18% streptococcal likelihood) What to do: Interpret only within the cited source population and criteria; use alongside complete clinical assessment. Inputs: fever 24h: false; purulence: false; attend rapidly: false; inflamed tonsils: false; no cough or coryza: false Source: Little P et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). BMJ. DOI: 10.1136/bmj.f5806. PMID: 24114306. Scope: FeverPAIN score (0–5) sums fever in past 24 hours, purulence, attendance within 3 days, inflamed tonsils, and absence of cough/coryza. NICE NG84 bands: 0–1 low (13–18% streptococcal likelihood), 2–3 moderate (34–40%), 4–5 high (62–65%). (2013)

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Clinical inputs

  • fever 24h
  • purulence
  • attend rapidly
  • inflamed tonsils
  • no cough or coryza

Primary source

Little P et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). BMJ. DOI: 10.1136/bmj.f5806. PMID: 24114306. Scope: FeverPAIN score (0–5) sums fever in past 24 hours, purulence, attendance within 3 days, inflamed tonsils, and absence of cough/coryza. NICE NG84 bands: 0–1 low (13–18% streptococcal likelihood), 2–3 moderate (34–40%), 4–5 high (62–65%). (2013)

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