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Around 90 per cent of sore throats that present in pharmacy will be caused by viral infection
If the sore throat has lasted for seven days or longer and shows no signs of settling, the patient should be referred
Clinical scoring systems such as FeverPAIN have some predictive value for infections more likely to benefit from antibiotic treatment
Examining a patient’s throat is a necessary part of using a clinical scoring system
Streptococcal (bacterial) throat infections are more likely in children of school age
Antibiotics need careful targeting and, even so, may have a limited effect on outcome (on average they reduce the duration of symptoms by about 16 hours)
Self-care with OTC analgesics and medicated lozenges are the mainstay of management for sore throats
Key facts
