Pharmacy First | Adults and children ≥5 years

Acute Sore Throat

Evidence-based pathway for ≥5 years across Community pharmacy, urgent care, primary care. Tap start to capture history, otoscopy, risk cues, and shared decision status.

≥5 years Community pharmacy, urgent care, primary care
  • Implements FeverPAIN scoring with shared decision-making guidance
  • Balances self-care, watchful waiting, and immediate antibiotic pathways
  • Includes PGD dosing for phenoxymethylpenicillin, clarithromycin, and erythromycin
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Escalate urgently if…

The workflow highlights red flag symptoms once you reach the complication screen.

Open the NEWS2 calculator before signposting to emergency care.

What you'll capture

  • Age + symptom duration
  • Otoscopy appearance and drainage
  • Systemic severity and bilateral disease cues
  • Risk modifiers (immunosuppression, prematurity, allergy)
  • Shared decision plan (immediate vs back-up antibiotics)

Before you begin

  • Have otoscopy findings or images ready.
  • Confirm allergy history and temperature.
  • Document analgesia given and pain score.
  • Be prepared to discuss home care (warm compresses, upright feeds, smoke avoidance).
Last updated: 2025-02-15
Version: 1.0
NICE: NICE CKS Acute sore throat
Sources: [1] [2] [3] [4] [5]