FeverPAIN Score Calculator

Calculate FeverPAIN score to guide sore throat management and antibiotic prescribing decisions in line with UK antimicrobial stewardship guidelines.

Important Clinical Disclaimer: The FeverPAIN Calculator is intended for use by qualified healthcare professionals only. It is for educational and informational purposes and should not replace clinical judgement. Always interpret results alongside the full clinical picture and follow your local guidelines and protocols.

FeverPAIN Score

Preferred in UK primary care per NICE guidelines

About FeverPAIN Score

The FeverPAIN score was developed in the UK and is recommended by NICE guidelines. It helps identify patients with sore throat who are likely to have Group A Streptococcus (GAS) infection and might benefit from antibiotics.

Components:

  • Fever (during this illness)
  • Purulence (pus on tonsils)
  • Attend rapidly (≤ 3 days after onset of symptoms)
  • Inflamed tonsils (severely inflamed)
  • No cough or coryza (absence of cough or cold symptoms)

UK Antimicrobial Stewardship: This score supports the UK's efforts to reduce unnecessary antibiotic prescribing while ensuring appropriate treatment for those who would benefit most. It aligns with NICE guidelines and the NHS Antimicrobial Stewardship programme.

Disclaimer

This calculator is provided for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

  • Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.
  • Never disregard professional medical advice or delay seeking it because of information from this tool.
  • Clinical decision-making should always incorporate the full clinical context, patient preferences, and local protocols.
  • The creators of this tool accept no liability for decisions made based on its output.

If you are a patient: please discuss any results with your healthcare provider. This tool is designed for use by medical professionals and may not be appropriate for self-assessment.