Centor_Criteria v.1

The Centor Criteria is a scoring system used to aid clinical assessment in determining value of testing and treatment in patients presenting with a sore throat. It consists of several factors, each contributing points to the total score generating a recommendation; (absence of) Cough (0-1), Swollen/tender anterior cervical nodes (0-1), Temperature >38° (0-1), Tonsillar exudate or swelling and Age range (0-1), 45+ (-1), 15-44 (0), 3-14 (1)

Dennis Forslund

models@cambiocds.com

Cambio Healthcare Systems

To aid clinical assessment in determining value of testing and treatment in patients presenting with a sore throat.

Use to evaluate value of testing and treatment in patients presenting with a sore throat. The modified Centor Criteria scoring system consists of several factors, each contributing points to the total score; - (Absence of) Cough 0-1 - Swollen/tender anterior cervical nodes 0-1 - Temperature >38° C 0-1 - Tonsillar exudate or swelling 0-1 - Age range, 45+ (-1), 15-44 (0), 3-14 (1) The total score results in a recommendation. Throat culture or rapid antigen detection testing (RADT) is indicated for a score of two or more. As a rule, empiric antibiotic treatment should be preceded by testing.

The Centor Criteria is to be used primarily on patients without severe underlying disease, in primary care setting. Should only be used to support clinical assessment. As a rule, empiric antibiotic treatment should be preceded by RADT and/or throat culture.

Fine AM, Nizet V, Mandl KD. Large-scale validation of the centor and McIsaac scores to predict group a streptococcal pharyngitis. Arch Intern Med. 2012;172(11):847–52 Chiappini E, Regoli M, Bonsignori F, et al. Analysis of different recommendations from international guidelines for the management of acute pharyngitis in adults and children. Clin Ther. 2011;33:48-58. Handläggning av faryngotonsilliter i öppen vård – ny rekommendation. Information från Läkemedelsverket. 2012;6:18-25 (https://lakemedelsverket.se/malgrupp/Halso---sjukvard/Behandlingsrekommendationer-arkiv/Behandlingsrekommendation---arkivlista/Faryngotonsilliter/)

OBSERVATION.centor_criteria.v1, EVALUATION.centor_criteria_assessment.v1