ENT / Infectious Disease

Modified Centor Score

McIsaac modification of the Centor criteria for pharyngitis. Estimates the probability of Group A Streptococcal (GAS) throat infection and guides decisions on testing and antibiotic therapy.

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0/5 criteria answered
1

Temperature > 38°C (>100.4°F)

Fever: measured or reported history of fever

2

Absence of Cough

Patient does NOT have a cough

3

Tender Anterior Cervical Lymphadenopathy

Swollen, tender lymph nodes at the front of the neck

4

Tonsillar Swelling or Exudate

Enlarged tonsils or white/yellow patches on tonsils

5

Age

McIsaac age adjustment criterion

Based on Centor RM et al. 1981 & McIsaac WJ et al. CMAJ 1998. Enhanced with clinical pearls by Dr Sumit Mandal.