Little P, et al. Incidence and clinical variables associated with streptococcal throat infections: a prospective diagnostic cohort study. Br J Gen Pract. 2012 Nov;62(604):e787-94.

Little P, Hobbs FDR, Moore M, et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). BMJ : British Medical Journal. 2013;347:f5806. doi:10.1136/bmj.f5806.

Little P, Moore M, Hobbs FDR, et al. Chapter 3: Two diagnostic cohorts to identify clinical variables associated with Lancefield group A beta-haemolytic streptococci and Lancefield non-group A streptococcal throat infections. In: PRImary care Streptococcal Management (PRISM) study: in vitro study, diagnostic cohorts and a pragmatic adaptive randomised controlled trial with nested qualitative study and cost-effectiveness study.

Little P, et al. PRImary care Streptococcal Management (PRISM) study: identifying clinical variables associated with Lancefield group A β-haemolytic streptococci and Lancefield non-Group A streptococcal throat infections from two cohorts of patients presenting with an acute sore throat. BMJ Open. 2013 Oct 25;3(10):e003943.

Little P, PRISM investigators, et. al. PRImary care Streptococcal Management (PRISM) study: in vitro study, diagnostic cohorts and a pragmatic adaptive randomised controlled trial with nested qualitative study and cost-effectiveness study. Health Technol Assess. 2014 Jan;18(6):vii-xxv, 1-101. doi: 10.3310/hta18060.

Dr. Paul Little

FeverPAIN Score for Strep Pharyngitis

cough

symp

Predicts likelihood of strep throat.

FeverPAIN Score

Christian Hietanen, DO, is a clinical assistant professor in the department of primary care at Touro College of Osteopathic Medicine in Middletown, New York. Dr. Hietanen graduated from Canisius College in his hometown of Buffalo, NY, and received his DO from the New York College of Osteopathic Medicine. He completed a pediatrics residency at Upstate Medical University and then moved to the Hudson Valley to practice outpatient pediatrics. Additionally, he directs the third-year pediatric clerkship at Orange Regional Medical Center in Middletown, and he continues his practice on a part-time basis.

Christian Hietanen, DO

The FeverPAIN for Streptococcal Pharyngitis calculates likelihood of strep throat and need for antibiotic prescription.

Centor Score (Modified/McIsaac)

Jones Criteria for ARF

Rochester Criteria

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Calc Function