Acute Sore Throat
Avoid antibiotics as 90% resolve in 7 days without, and pain only reduced by 16 hours.
Use FeverPAIN Score: Fever in last 24h, Purulence, Attend rapidly <3 days, severely Inflamed tonsils, No cough or coryza.
0-1: NO antibiotic,
2-3: No or back-up antibiotic prescription,
≥4: Immediate antibiotic if severe, or 48hr back-up prescription.
Systemically very unwell or high risk of complications: Immediate antibiotic
You need to treat 200 patients to prevent one case of otitis media
and >4000 patients to prevent one quinsy.