Template:Centor Calculator: Difference between revisions

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| style="background:#e74c3c; color:white; text-align:center; font-weight:bold;" | 4–5
| style="background:#e74c3c; color:white; text-align:center; font-weight:bold;" | 4–5
| '''~51–53% strep probability''' — Consider empiric antibiotics or rapid strep test.
| '''~51–53% strep probability''' — Consider empiric antibiotics or rapid strep test.
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{| class="wikitable" style="width:100%; margin-top:4px; font-size:90%;"
! References
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* Centor RM et al. The diagnosis of strep throat in adults. Med Decis Making. 1981;1:239-246. PMID 6763125.
* McIsaac WJ et al. A clinical score to reduce unnecessary antibiotic use. CMAJ. 1998;158:75-83. PMID 9475915.
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Revision as of 12:54, 21 March 2026

Interactive Modified Centor (McIsaac) Score calculator for strep pharyngitis. Requires the calculator gadget.

Usage: {{Centor Calculator}}

Modified Centor (McIsaac) Score
Criteria No (0) Yes (+1)
Tonsillar exudates or swelling 0 1
Tender/swollen anterior cervical lymph nodes 0 1
Temperature >38°C (100.4°F) 0 1
Absence of cough 0 1
Age modifier (McIsaac modification)
Age 3–14 years 0 1 (+1)
Age 15–44 years (0 points — default)
Age ≥45 years 0 -1 (−1)
Modified Centor Score 0   / 5
Interpretation & Management
≤0 ~1–2.5% strep probability — No testing or antibiotics needed.
1 ~5–10% strep probability — No testing or antibiotics needed (optional rapid strep if high clinical suspicion).
2–3 ~11–35% strep probability — Rapid strep testing recommended; treat if positive.
4–5 ~51–53% strep probability — Consider empiric antibiotics or rapid strep test.
References
  • Centor RM et al. The diagnosis of strep throat in adults. Med Decis Making. 1981;1:239-246. PMID 6763125.
  • McIsaac WJ et al. A clinical score to reduce unnecessary antibiotic use. CMAJ. 1998;158:75-83. PMID 9475915.