# Clinical Protocol for Sore Throat Management ## Patient with Sore Throat The clinical protocol for managing a patient with a sore throat involves evaluating them using the Modified Centor Criteria. ## Modified Centor Criteria The criteria include: 1. Absence of Cough 2. Swollen and Tender Anterior Cervical Nodes 3. Temperature >38°C (100.4°F) 4. Tonsillar Exudates or Swelling 5. Age: - 3-14 years (+1) - 15-44 years (0) - ≥45 years (-1) Based on the number of criteria met, a score is assigned. ## Score 0-1: Low Risk - **Management**: No Testing, No Antibiotics ## Score 2-3: Moderate Risk - **Management**: Perform RADT (Rapid Antigen Detection Test) or Throat Culture - **Negative Test**: No Antibiotics - **Positive Test**: Antibiotics ## Score 4-5: High Risk - **Management**: Consider Empiric Antibiotic Treatment ## Summary - **Low Risk (Score 0-1)**: No testing or antibiotics required. - **Moderate Risk (Score 2-3)**: Perform RADT or throat culture, and prescribe antibiotics only if the test is positive. - **High Risk (Score 4-5)**: Consider starting empirical antibiotic treatment. This protocol helps ensure appropriate management of sore throat based on the patient's risk level determined by the Modified Centor Criteria.