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Centor Score Acute Pharyngitis Clinical Criteria Abscence of cough Swollen and tender anterior cervical nodes Temperature

> 38C Tonsilar exudate or swelling Age 3 to 14 years Age 15 to 44 years Age 45 years and older Points 1 1 1 1 1 0 -1

NICE guideline : flow-chart for management of pharyngitis Centor Score

Score < 1

Score = 1

Score = 2

Score = 3

Score 4

Risk < 10%

Risk 10 17%

Risk 28 35%

Risk 52 53%

No investigations No treatment ACP Guideline : flow-chart for management of pharyngitis Centor Score

Antibiotik treatment can be considered

Score < 1

Score = 1

Score = 2

Score = 3

Score 4

Risk < 10%

Risk 10 17%

Risk 28 35%

Risk 52 53%

No investigations and no treatment If RADT is negative perform a throat culture in children

Perform a RADT Negative Postive

Antibiotic treatment

No treatment

Antibiotic treatment

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