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.

FeverPAIN Score for Strep Pharyngitis Calculator

Estimates probability that pharyngitis is streptococcal, and suggests management course.

Centor Score (Modified/McIsaac)

Diagnoses acute rheumatic fever based on major and minor criteria.

Jones Criteria for ARF

Determines whether febrile infants are low risk for serious bacterial infection.

Rochester Criteria

The American Academy of Pediatrics (AAP) focuses on the health, safety, and well-being of infants, children, and young adults. With about 67,000 members, including pediatricians, medical subspecialists, and surgical specialists, the AAP supports optimal care. Over 45,000 members are board-certified Fellows of the AAP (FAAP). Its mission is to promote children's health and well-being while supporting members' professional needs.

American Academy of Pediatrics (AAP)

The American Association for Physician Leadership&reg; (AAPL) is the world&rsquo;s oldest and largest professional association dedicated solely to maximizing physician leadership.&nbsp;From the moment physicians begin their leadership journey through the time they are seasoned leaders, AAPL provides education and training, resources and tools, and content and experiences needed to close gaps between hands-on clinical care, organization system improvements and optimized business outcomes.

American Association for Physician Leadership (AAPL)

American Association for the Study of Liver Diseases

The American College of Emergency Physicians (ACEP) represents more than 38,000 emergency physicians, emergency medicine residents and medical students. ACEP promotes the highest quality of emergency care and is the leading advocate for emergency physicians and their patients, and the public. Members may earn up to 850 continuing medical education hours every year through ACEP&rsquo;s robust catalog of peer-reviewed publications and on-demand courses presented by world-renowned emergency medicine experts.

American College Of Emergency Physicians

The American College of Gastroenterology (ACG) supports clinicians in delivering high-quality, evidence-based care to gastroenterology patients. Its mission is to advance care for those with gastrointestinal disorders through excellence, innovation, and advocacy. ACG provides members with up-to-date scientific information through annual meetings, the American Journal of Gastroenterology, training courses, and research grants, focusing on digestive health and GI disorder treatments.

American College of Gastroenterology

American College of Rheumatology

The American Gastroenterological Association (AGA), founded in 1897, provides leadership and education to over 16,000 members worldwide, all dedicated to advancing gastroenterology. The AGA&rsquo;s mission is to empower clinicians and researchers to improve digestive health through clinical guidance, practice resources, and peer-reviewed research. Key journals include Gastroenterology, Clinical Gastroenterology and Hepatology, Cellular and Molecular Gastroenterology and Hepatology, and others.

American Gastroenterological Association

American Heart Association

American Urological Association

EB Medicine is the premier provider of evidence-based clinical content and CME resources for emergency medicine practitioners.

EB Medicine

MDCalc Blog

MDCalc CME

Postgraduate Institute for Medicine

The Rome Foundation is a nonprofit organization dedicated to advancing the diagnosis and treatment of Disorders of Gut-Brain Interaction (DGBI), also known as functional gastrointestinal disorders. Its mission is to improve the lives of people with DGBI. For over 30 years, the Rome Foundation has worked with scientists and clinicians worldwide to classify and assess GI function and dysfunction, creating symptom-based criteria used in clinical trials and daily practice to guide diagnosis and treatment.

The ROME Foundation

Listen to the VACO co-creators break down how to use VACO\, what it does\, and what it doesn’t.

FeverPAIN Score for Strep Pharyngitis

History

Physical Exam Findings