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Template:Modified Centor Criteria
From WikEM
Modified Centor Criteria[1]
One point is given for each of the criteria:[1]
- Absence of a cough
- Swollen and tender cervical lymph nodes
- Temperature >38.0 °C (100.4 °F)
- Tonsillar exudate or swelling
- Age less than 15^
- Subtract a point if age >44
^Testing is not needed in children <3 years old as both group A strep and rheumatic fever are rare, except if they have a sibling with the disease.[2]
| Points | Probability of Streptococcal pharyngitis | Management |
|---|---|---|
| 1 or fewer | <10% | No antibiotic or culture needed |
| 2 | 11–17% | Antibiotic based on rapid strep or culture |
| 3 | 28–35% | |
| 4 or 5 | 52% | Empiric antibiotics |
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