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 under 3d, severely Inflamed tonsils, No cough or coryza).
Score 0-1: 13-18% streptococci, use NO antibiotic strategy;
2-3: 34-40% streptococci, use 3 day back-up/ delayed antibiotic;
>4: 62-65% streptococci, use immediate antibiotic if severe, or 48hr short backup/ delayed prescription.
Always share self-care advice & safety net. Non-Prescription Pad and Patient Information Leaflet
Antibiotics to prevent Quinsy NNT >4000.
Antibiotics to prevent Otitis media NNT 200.
10 days penicillin lower relapse vs 7 days in <18yrs.