To facilitate management, the modified centor score can help clinicians determine which patients should need no testing, throat culture/radt, or empiric treatment with antibiotics. Study limitations were inclusion limited to subjects with a modified centor score of 2 or more, rapid test sensitivity of 83%, and inability to assess the impact of a higher or lower prevalence. Remember that exudates are the greatest predictor, and consider.
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Comments on medscape are moderated and should be professional in tone and on topic. Medscape provides medical news, education, and resources for healthcare professionals. The centor score for distinguishing group a streptococcal (gas) pharyngitis from viral pharyngitis was not a reliable diagnostic guide in paediatric patients.
New guidelines on diagnosing strep throat advise clinicians to use a scoring system to help determine which patients should be tested for group a streptococcal pharyngitis.
The modified centor criteria — or the mcisaac criteria — score adds a point if the patient is younger than 15 years of age. You must declare any conflicts of interest related to your comments and responses. In patients with a higher centor score, the consensus gives two choices:
