FeverPAIN Score Calculator

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

Important Disclaimer: This calculator is for informational purposes only and should be used under the guidance of a healthcare professional. Antibiotic prescribing decisions should be made in consultation with a qualified healthcare provider.

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.

Note: This calculator is intended for healthcare professionals. Clinical judgment should always be used alongside this score.