Pediatric Streptococcal Score

Patient with sore throat and:

Temperature:

Age:

Pediatric Streptococcal Score

00

Risk of GABHS pharyngitis 1 to 2.5%

No further testing or antibiotics are indicated
(symptomatic treatment)

Risk of GABHS pharyngitis 5 to 10%

No further testing or antibiotics are indicated
(symptomatic treatment)

You have the option to perform throat culture or RADT:

If Negative:
No antibiotics are indicated (symptomatic treatment)

If Positive: Treat with antibiotics

Risk of GABHS pharyngitis 11 to 17%

Perform throat culture or RADT:

If Negative:
No antibiotics are indicated (symptomatic treatment)

If Positive: Treat with antibiotics

Risk of GABHS pharyngitis 28 to 35%

Perform throat culture or RADT:

If Negative:
No antibiotics are indicated (symptomatic treatment)

If Positive: Treat with antibiotics

Risk of GABHS pharyngitis 51 to 53%

Consider empiric treatment with antibiotics

Modified Centor score and management options using clinical decision rule. Other factors should be considered (e.g., a score of 1, but recent family contact with documented streptococcal infection).


(GABHS = group A beta-hemolytic streptococcus; RADT = rapid antigen detection testing.)



Adapted from CHOBY BA. Diagnosis and Treatment of Streptococcal Pharyngitis. American Family Physician. 2009: Volume 79, Number 5: 383-390