ToolsCalculators
FeverPAIN score for strep pharyngitis
FeverPAIN score for strep pharyngitis
Fever in the past 24 hours
Purulence (pus on tonsils)
Attend rapidly (within 3 days of symptom onset)
Severely inflamed tonsils
No cough or coryza
Result0 points
Low likelihood of streptococcus; antibiotics generally not indicated.
- Estimated streptococcus
- 13-18 %
When to use
- Guiding antibiotic decisions in acute sore throat in patients aged >=3 years.
Formula
One point each: Fever (24 h), Purulence, Attend rapidly (<=3 days), severely Inflamed tonsils, No cough/coryza. Range 0-5.
Pearls and pitfalls
- Score 0-1: ~13-18% strep; 2-3: ~34-40%; 4-5: ~62-65%.