Question

A 33-year-old man attends the GP with a 3-day history of sore throat, fever, and malaise. Examination shows enlarged tonsils with exudate and tender cervical lymphadenopathy. He has a Centor score of 3. According to NICE guidelines, what is the most appropriate antibiotic strategy?

Accepted Answer

Offer delayed or immediate Phenoxymethylpenicillin depending on severity and patient preference

Answer

No antibiotics should ever be given for sore throat

Answer

Offer immediate antibiotics to all patients regardless of severity

Answer

Prescribe broad-spectrum Amoxicillin to all to cover EBV

Answer

Prescribe Clarithromycin for 14 days in all cases

Practice question

A 33-year-old man attends the GP with a 3-day history of sore throat, fever, and malaise. Examination shows enlarged tonsils with exudate and tender cervical lymphadenopathy. He has a Centor score of 3. According to NICE guidelines, what is the most appropriate antibiotic strategy?