This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

McIsaac score (sore throat)

Modified Centor score: probability of streptococcal pharyngitis, −1 to 4 points

History of fever (> 38 °C)
Cough
Painful anterior cervical lymph nodes
Tonsillar swelling or tonsillar exudate
Age

What the guideline gives for the total

TotalDesignation according to source
-1–2Score ≤ 2 – the guideline mentions symptomatic therapy only (recommendation 9.9, item 1)
3Score 3 – the guideline mentions antibiotic therapy only as “delayed prescribing” (recommendation 9.9, item 2); in children aged 3 to 15 years, a rapid test for group A streptococci can be used to decide on treatment (recommendation 9.10)
4–5Score ≥ 4 – the guideline mentions “delayed prescribing” or immediate antibiotic therapy (recommendation 9.9, item 3); in children aged 3 to 15 years, a rapid test can be used (recommendation 9.10)

Recommendation 9.9 applies to patients aged 3 years and older with acute sore throat (under 14 days) without red flags, when antibiotic therapy is considered or expected by the physician. Recommendation 9.10 adds the rapid test from score 3 for 3- to 15-year-olds.