{"id":28843,"date":"2022-06-22T09:57:14","date_gmt":"2022-06-22T07:57:14","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28843"},"modified":"2022-06-22T09:57:14","modified_gmt":"2022-06-22T07:57:14","slug":"centor-score-modified-by-mcisaac","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/centor-score-modified-by-mcisaac\/","title":{"rendered":"Centor Score (modified by McIsaac)"},"content":{"rendered":"<p>The Centor score was developed to predict the probability of a positive culture for group A \u03b2-hemolytic streptococci in patients with pharyngitis. The modification by McIsaac et al. also takes the patient&#8217;s age into account. The score can only be applied to acute pharyngitis within the first three days and is only valid for patients \u2265 3 years.<\/p>\n    <div class=\"medical-calculator centor\" id=\"medical-calculator-centor\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-centor-age\" class=\"col-sm-4 col-form-label\">\r\n                                    Age\r\n                                <\/label>\r\n                <div class=\"col-sm-8\">\r\n                    <div class=\"input-group mb-2\">\r\n                        <input type=\"text\" name=\"age\" id=\"medical-calculator-centor-age\" class=\"form-control\" aria-label=\"Age\" aria-describedby=\"medical-calculator-centor-age-unit\" tabindex=\"1\" inputmode=\"numeric\">\r\n                        <div class=\"input-group-append\">\r\n                            <span class=\"input-group-text\" id=\"medical-calculator-centor-age-unit\">years<\/span>\r\n                        <\/div>\r\n                        <div class=\"invalid-feedback\" id=\"medical-calculator-centor-age-error\"><\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-4 col-form-label\">\r\n                                    Temperature &ge; 38 &deg;C\r\n                                <\/div>\r\n                <div class=\"col-sm-8\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"fever\" id=\"medical-calculator-centor-fever-y\" value=\"Y\" tabindex=\"2\" autocomplete=\"off\"> \r\n                                                            Yes\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"fever\" id=\"medical-calculator-centor-fever-n\" value=\"N\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                            No\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-4 col-form-label\">\r\n                                    Cough\r\n                                <\/div>\r\n                <div class=\"col-sm-8\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"no-coughing\" id=\"medical-calculator-centor-no-coughing-y\" value=\"Y\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                            Yes\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"no-coughing\" id=\"medical-calculator-centor-no-coughing-n\" value=\"N\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                            No\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-4 col-form-label\">\r\n                                    Swollen, tender anterior cervical nodes\r\n                                <\/div>\r\n                <div class=\"col-sm-8\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"painful-lymph-nodes\" id=\"medical-calculator-centor-painful-lymph-nodes-y\" value=\"Y\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                            Yes\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"painful-lymph-nodes\" id=\"medical-calculator-centor-painful-lymph-nodes-n\" value=\"N\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                            No\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-4 col-form-label\">\r\n                                    Tonsillar swelling or exudate\r\n                                <\/div>\r\n                <div class=\"col-sm-8\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"noticable-tonsils\" id=\"medical-calculator-centor-noticable-tonsils-y\" value=\"Y\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                            Yes\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"noticable-tonsils\" id=\"medical-calculator-centor-noticable-tonsils-n\" value=\"N\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                            No\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-centor-result-text\" class=\"result-text\">\r\n                    <p><h5><span id=\"medical-calculator-centor-result-value\"><\/span> (modified by McIsaac)<\/h5><\/p>\r\n                    <p id=\"medical-calculator-centor-result-recommendation\"><\/p>\r\n                    <p id=\"medical-calculator-centor-result-probability\"><\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                    Interpretation\r\n                                <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Score\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Probability of group A \u03b2-hemolytic streptococci\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommendation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>&le; 0<\/td>\r\n                                <td>1-2.5 %<\/td>\r\n                                <td rowspan=\"2\">\r\n                                                                            No further diagnostics or antibiotic therapy recommended\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>1<\/td>\r\n                                <td>5-10 %<\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-c\">\r\n                                <td>2<\/td>\r\n                                <td>11-17 %<\/td>\r\n                                <td rowspan=\"2\">\r\n                                                                            Perform culture\/rapid test, antibiotic therapy recommended if positive\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-d\">\r\n                                <td>3<\/td>\r\n                                <td>28-35 %<\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-e\">\r\n                                <td>&ge; 4<\/td>\r\n                                <td>51-53 %<\/td>\r\n                                <td>\r\n                                                                            Empirical antibiotic therapy recommended\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"centor-cite-note-1\">Centor RM, Witherspoon JM, Dalton HP et al. The diagnosis of strep throat in adults in the emergency room. Med Decis Making 1981; 1: 239-246<\/li>\r\n                    <li id=\"centor-cite-note-2\">McIsaac WJ, White D, Tannenbaum D et al. A clinical score to reduce unnecessary antibiotic use in patients with sore throat. CMAJ 1998; 158: 75-83<\/li>\r\n                    <li id=\"centor-cite-note-3\">McIsaac WJ, Kellner JD, Aufricht P et al. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA 2004; 291: 1587-1595<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_centor_messages = {\r\n            'age_out_of_range' : 'Unlikely value (age): values between 3 and 120 years allowed.',\r\n            'interpretation_le_0_and_1' : 'No further diagnostics or antibiotic therapy recommended',\r\n            'interpretation_2_and_3' : 'Perform culture\/rapid test, antibiotic therapy recommended if positive',\r\n            'interpretation_ge_4' : 'Empirical antibiotic therapy recommended',\r\n            'interpretation_probability' : 'Probability of group A \u03b2-hemolytic streptococci',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>The Centor score was developed to predict the probability of a positive culture for group A \u03b2-hemolytic streptococci in patients with pharyngitis. The modification by McIsaac et al. also takes the patient&#8217;s age into account. The score can only be applied to acute pharyngitis within the first three days and is only valid for patients [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":141,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28843","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28843","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28843"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28843\/revisions"}],"predecessor-version":[{"id":28844,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28843\/revisions\/28844"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28843"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}