Acute Sore Throat
Avoid antibiotics as 82% resolve in 7 days without, and pain only reduced by 16 hours. Use FeverPAIN Score: Fever in last 24h, Purulence, Attend rapidly under 3d, severely Inflamed tonsils, No cough or coryza). Score 0-1: 13-18% streptococci, use NO antibiotic strategy; 2-3: 34-40% streptococci, use 3 day back-up antibiotic; >4: 62-65% streptococci, use immediate antibiotic if severe, or 48hr short back-up prescription.
Always share self-care advice & safety net.
Antibiotics to prevent Quinsy NNT >4000.
Antibiotics to prevent Otitis media NNT 200.
10d penicillin lower relapse vs 5d in <18yrs.