McIsaac (modified Centor) score for streptococcal pharyngitis
Based on McIsaac WJ et al. (1998). Replaces Streptococcal pharyngitis prediction in children (Attia), which is kept for comparison.
Pogosh offers this calculator when a case matches pharyngitis, tonsillitis. It runs only when you press Calculate.
Decision support for clinicians — review before acting.
References
- McIsaac WJ, White D, Tannenbaum D, Low DE. A clinical score to reduce unnecessary antibiotic use in patients with sore throat. CMAJ. 1998;158:75-83. Search PubMed
- Shulman ST, Bisno AL, Clegg HW, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012;55:e86-e102. Search PubMed
Implementation notes
Criteria and the 0–4 range from the 1998 abstract (age ≥ 45 subtracts 1).
Related calculators
Pogosh CDS reads a clinical note and offers the calculators that fit the case. Try it on your own note, browse all calculators, or call them from your software through the API.