FeverPAIN Calculator

The FeverPAIN Calculator provides a score for Streptococcal pharyngitis. It is used for predicting the likelihood of Streptococcal infection in patients with pharyngitis in primary care.

Possible score ranges from 0 to 5:

  • A score of 0 or 1 is associated with 13-18% isolation of streptococcus (close to background carriage rates). No antibiotics recommended.

  • A score of 2 is associated with 30-35% isolation of streptococcus. Delayed antibiotic may be appropriate.

  • A score of 3 is associated with 39-48% isolation of streptococcus. Delayed antibiotic may be appropriate.

  • A score of 4 or 5 is associated with 62-65% isolation of streptococcus. Delayed antibiotic may be appropriate. Consider antibiotics if symptoms are sever or a short delayed prescribing strategy may be appropriate (48 hours).

Accessing the FeverPAIN Calculator

  1. From Consultation Manager, select Vision+ from the floating toolbar and select Calculators - Other - FeverPAIN.

  2. The FeverPAIN Calculator displays:

Using the Calculator

Home Tab

From the Home tab:

  • Save & Close - Select to save the calculator and generated score to the patient's record.

  • Show Indicators - Select to display the patient's Alert Indicator without opening Consultation Manager.

  • Indicator Logic - Select to display the rules behind the calculator.

  • Default Date - Defaults to today, update if required by entering a new date or selecting from the calendar.

  • Previous Tab / Next Tab - Moves between the Calculator tabs.

Calculator Tabs

Select from:

  • History - Displays the clinical information from the patient's record.

    See Viewing the History Tab for details.

  • FeverPAIN - The main calculator tab, complete as required.

  • FeverPAIN Evidence - Displays further information about the calculator.

Completing the Calculator

To complete the FeverPAIN Calculator and score your patient:

  1. Complete the calculator with the answers to each question.
  2. Once all questions are answered the score displays:

  3. Select Save & Close to save the clinical term and score to the patient's record:

Note - To print this topic select Print in the top right corner and follow the on-screen prompts.