FeverPAIN score (strep pharyngitis)
FeverPAIN score for streptococcal pharyngitis (NICE NG84).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Fever in the last 24 hours
- Yes
- Purulence
- Yes
- Attended rapidly
- Yes
- Severely inflamed tonsils
- Yes
Result: Score 4: 62-65% streptococci, consider an antibiotic.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- 0-1
- Roughly 13-18% streptococcus likelihood; antibiotics generally not indicated per source.
- 2-3
- Roughly 34-40% likelihood; a delayed-antibiotic strategy is an option per source.
- 4-5
- Roughly 62-65% likelihood; antibiotics or a delayed prescription per source.
What you enter
- Fever in the last 24 hours
- Purulence (pus on tonsils)
- Attended rapidly (<= 3 days)
- Severely inflamed tonsils
- No cough or coryza
How this is calculated
Little P, et al. BMJ. 2013;347:f5806 (FeverPAIN); endorsed by NICE NG84. Five items (Fever, Purulence, Attend rapidly, Inflamed tonsils, No cough/coryza). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.