Acute Sore Throat

Avoid antibiotics as 90% 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/ delayed antibiotic; 
>4: 62-65% streptococci, use immediate antibiotic if severe, or 48hr short backup/ delayed prescription.

Always share self-care advice & safety net.  Non-Prescription Pad and Patient Information Leaflet

Antibiotics to prevent Quinsy NNT >4000.
Antibiotics to prevent Otitis media NNT 200.
10 days penicillin lower relapse vs 7 days in ​<18yrs.

Phenoxymethylpenicillin

500mg four times daily or 1g twice daily

(use 500mg four times daily if severe)

 child dose

10 days

Penicillin Allergy: erythromycin

500mg four times daily

child dose

5 days