🤒 FeverPAIN Score (Strep Pharyngitis)
Estimate the likelihood of streptococcal sore throat with the FeverPAIN score.
FeverPAIN Score (Strep Pharyngitis)
Fever in past 24 h
Purulence (pus on tonsils)
Attend rapidly (≤ 3 days of onset)
Severely inflamed tonsils
No cough or coryza
When to use
Guide antibiotic decisions in acute pharyngitis.
How it works
Fever, Purulence, Attend rapidly (≤ 3 days), severely Inflamed tonsils, No cough/coryza (1 each). 0–1 low, 2–3 moderate, 4–5 high.
Key points
- Most sore throats are viral.
- A delayed (back-up) prescription suits intermediate scores.
- Centor/McIsaac is an alternative.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.