Sore Thorat Score

Decision

Group A Streptococcus infection vs viral URTI

Population

Clinic

Components

For each of the following add 1 point:

  • Temperature measured or reported by the patient of >=38 degrees Celsius
  • Absence of a cough
  • Under 15 years of age
  • Tonsils swollen, erythematous +/- exudate

If the patient is over 45 years, subtract 1 point

Score

  • 0-1:  No further investigation or Rx Abx indicated
  • 2-3:  Culture, if result positive, Rx Abx
  • 4:      Rx Abx – penicillin V or clarithromycin