Infectious Disease

FeverPAIN Score

Predicts likelihood of streptococcal pharyngitis and guides antibiotics.

Parameters

FeverPAIN Score Result

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FormulaFever (+1), Purulence (+1), Attend rapidly (+1), Severely Inflamed (+1), No cough/coryza (+1).

Clinical Pearls

Provides a modern alternative to the Centor/McIsaac scores, explicitly capturing severity of inflammation and symptom duration.

Limitations

Validation primarily performed in UK primary care settings. May be less predictive in populations with high background rates of Strep carriage.