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\"_blank\" : \"_self\";\r\n\t\t\t\tlet dataId = e.target.dataset.id == null ? -1 : e.target.dataset.id;\r\n\t\t\t\tvar isnativeapp = document.getElementById(\"isnativeapp\");\r\n\t\t\t\tif (isnativeapp === undefined || isnativeapp === null) \r\n\t\t\t\t{\r\n\t\t\t\t\twindow.open(url,target);  \r\n\t\t\t\t}\r\n\t\t\t\telse{\r\n\t\t\t\t\tif(target == \"_blank\") {\r\n\t\t\t\t\t\tlet data = {title:'',nodeid: dataId, href:url, target: target};\r\n\t\t\t\t\t\twindow.Native('dataCallback', data);\r\n\t\t\t\t\t} \r\n\t\t\t\t}\t\r\n\t\t\t}\r\n\t\t},\r\n\t},\r\n\tdata: function () {\r\n    return {\r\n\t\t\taccordions: [\r\n\t\t\t\t{\r\n\t\t\t\t\tdisplay: false,\r\n\t\t\t\t\ttitle: \"About sore throat\",\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\tAcute pharyngitis is characterised by the rapid onset of sore throat and pharyngeal inflammation (with or without exudate).\r\n\t\t\t\t\t</p>\r\n\t\t\t\t\t<h3 class=\"txt--lg\">\r\n\t\t\t\t\t\t\tBacterial and viral sore throat\r\n\t\t\t\t\t</h3>\r\n\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\tSore throat can be caused by a variety of viral and bacterial pathogens, including group A <em>Streptococcus</em> (GAS), as well as fungal pathogens (<em>Candida</em>). Absence of cough, nasal congestion, and nasal discharge distinguishes bacterial from viral aetiologies. Bacterial pharyngitis is more common in winter (or early spring), while enteroviral infection is more common in the summer and autumn. Generally a self-limited condition with resolution within two weeks.\r\n\t\t\t\t\t</p>\r\n\t\t\t\t\t<p>The goal of treatment of GAS is to prevent acute rheumatic fever, reduce the severity and duration of symptoms, and prevent transmission.</p>\r\n\t\t\t\t\t<p>Acute pharyngitis is generally a self-limited condition with resolution within two weeks</p>\r\n\r\n\t\t\t\t\t<h3 class=\"txt--lg\">Tonsillitis</h3>\r\n\t\t\t\t\t<p>Acute tonsillitis is an acute infection of the parenchyma of the palatine tonsils. The clinical distinction between tonsillitis and pharyngitis is unclear in the literature, and the condition is often referred to simply as 'acute sore throat'.</p>\r\n\t\t\t\t\t<p>Reference – <a href=\"https://bestpractice-bmj-com.knowledge.idm.oclc.org/topics/en-gb/5\" target=\"_blank\">BMJ Best Practice</a></p>\r\n\t\t\t\t\t`\r\n\t\t\t\t},\r\n\t\t\t\t{\r\n\t\t\t\t\tdisplay: false,\r\n\t\t\t\t\ttitle: \"Guidance & actions\",\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t<h3 class=\"txt--lg\">Key guidelines</h3>\r\n\t\t\t\t\t\t<p>National Institute for Health and Care Excellence and Public Health England (2020) <a href=\"https://www.nice.org.uk/Media/Default/About/what-we-do/NICE-guidance/antimicrobial%20guidance/summary-antimicrobial-prescribing-guidance.pdf\" target=\"_blank\">Summary of antimicrobial prescribing guidance – managing common infections</a></p>\r\n\t\t\t\t\t\t<p>National Institute for Health and Care Excellence (2018) <a href=\"https://www.nice.org.uk/guidance/ng84\" target=\"_blank\">Sore throat (acute): antimicrobial prescribing</a></p>\r\n\t\t\t\t\t\t<p>National Institute for Health and Care Excellence (2008) <a href=\"https://www.nice.org.uk/guidance/CG69\" target=\"_blank\">Respiratory tract infections (self-limiting): prescribing antibiotics</a></p>\r\n\t\t\t\t\t\t<p class=\"mb--1\">National Institute for Health and Care Excellence (2019) <a href=\"https://www.nice.org.uk/guidance/dg38\" target=\"_blank\">Rapid tests for group A streptococcal infections in people with a sore throat</a></p>\r\n\t\t\t\t\t\t<h3 class=\"txt--lg\">Key actions</h3>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>Steroids and NSAIDS improve symptoms; antibiotics are often indicated in streptococcal pharyngitis, but do not prevent its suppurative complications, like peritonsillar abscess. (<a href=\"https://www.nice.org.uk/guidance/ng84\" target=\"_blank\">NICE 2018 guidance</a>)</li>\r\n\t\t\t\t\t\t\t\t<li>Provide patient information and self-care advice (see below).</li>\r\n\t\t\t\t\t\t\t\t<li>Carefully consider patients with symptom duration longer than 3 days, even though the Centor Score does not apply. While symptoms are not compatible with a diagnosis of acute pharyngitis, these patients require evaluation for suppurative complications (e.g. peritonsillar abscess), or viral infections in adult patients (infectious mononucleosis or acute HIV)</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t`\r\n\t\t\t\t},\r\n\t\t\t\t{\r\n\t\t\t\t\tdisplay: false,\r\n\t\t\t\t\ttitle: \"Efficacy of antibiotics for sore throat (NNT, NNH)\",\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t\t<p>Recommendations in NICE 2018 guidance highlight the findings from a 2014 Cochrane Review. Based on low to moderate quality evidence, this review found that:</p>\r\n\t\t\t\t\t\t<p><strong>1.With antibiotics, significantly more people with acute sore throat were symptom free at days 3 and 7 compared with placebo.</strong></p>\r\n\t\t\t\t\t\t<ul><li>At day 3, 51% were symptom free with antibiotics compared with 34% with placebo (NNT 6 [range 5 to 7]). At day 7, most people in both groups were symptom free (87% versus 82%, NNT 21 [range 14 to 49]).</li></ul>\r\n\t\t\t\t\t\t<p><strong>2.Overall, antibiotics shortened the duration of symptoms by about 16 hours over 7 days.</strong></p>\r\n\t\t\t\t\t\t<p><strong>3.Antibiotics are more effective in people with a throat swab positive for GABHS.</strong></p>\r\n\t\t\t\t\t\t<ul><li>The NNT with antibiotics compared with placebo to prevent 1 person with a negative throat swab having a sore throat on day 3 was 7 (range 5 to 12), with an NNT of about 4 (range 4 to 5) for people with a throat swab positive for GABHS</li></ul>\r\n\t\t\t\t\t\t<p><strong>4.The overall incidence of suppurative complications, including acute otitis media, acute sinusitis and quinsy (peri-tonsillar abscess), was low.</strong></p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>This finding was based on data from older studies, mostly conducted in the 1950s. These studies found that antibiotics significantly reduced the incidence of acute otitis media and acute sinusitis within 14 days, and quinsy (peri-tonsillar abscess) within 2 months, compared with placebo. Based on the complication rates from studies conducted after 1975,  the review authors estimated that 200 people would need to be treated with antibiotics to prevent 1 case of acute otitis media.</li>\r\n\t\t\t\t\t\t\t\t<li>Rheumatic fever was reported only in RCTs published before 1961. The incidence has continued to decline in western societies since then. Results from these early studies found that antibiotics reduced acute rheumatic fever by more than two-thirds compared with placebo (low quality evidence).</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<h3 class=\"txt--lg\">\r\n\t\t\t\t\t\t\t\tHarms associated with antibiotic use\r\n\t\t\t\t\t\t</h3>\r\n\t\t\t\t\t\t<p><a href=\"https://www.nice.org.uk/guidance/ng84\" target=\"_blank\">NICE 2018 Guidance</a> highlights the following issues about safety of antibiotic use for sore throat:</p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>Allergic reactions to penicillins occur in 1 to 10% of people and anaphylactic reactions occur in less than 0.05%. People with a history of atopic allergy (for example, asthma, eczema and hay fever) are at a higher risk of anaphylactic reactions to penicillins. People with a history of immediate hypersensitivity to penicillins may also react to cephalosporins and other beta-lactam antibiotics (BNF, November 2017).</li>\r\n\t\t\t\t\t\t\t\t<li>Antibiotic-associated diarrhoea is estimated to occur in 2 to 25% of people taking antibiotics, depending on the antibiotic used (<a href=\"https://cks.nice.org.uk/topics/diarrhoea-antibiotic-associated/\" target=\"_blank\">NICE Clinical Knowledge Summary [CKS]: diarrhoea – antibiotic associated).</a></li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<h3 class=\"txt--lg\">Antibiotic resistance</h3>\r\n\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\tEvery course of antibiotic is likely to result in some emerging resistance which could affect the next choice of antibiotic regimen for that individual, especially if within 3 months of the previous antibiotic.\r\n\t\t\t\t\t\t</p>\r\n\t\t\t\t\t`\r\n\t\t\t\t},\r\n\t\t\t\t{\r\n\t\t\t\t\tdisplay: false,\r\n\t\t\t\t\ttitle: \"Patient information & self-care advice\",\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t<p><strong>Key patient information resources</strong></p>\r\n\t\t\t\t\t\t<p><a href=\"https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/sore-throat\" target=\"_blank\">NHS inform – Sore throat</a></p>\r\n\t\t\t\t\t\t<p><a href=\"https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/tonsillitis\" target=\"_blank\">NHS inform - Tonsillitis</a></p>\r\n\t\t\t\t\t\t<p><a href=\"https://www.nhsinform.scot/tests-and-treatments/medicines-and-medical-aids/types-of-medicine/antibiotics\" target=\"_blank\">NHS inform – Antibiotics</a></p>\r\n\t\t\t\t\t\t<p><strong>Self-care advice</strong></p>\r\n\t\t\t\t\t\t<p>(from National Institute for Health and Care Excellence (2018) <a href=\"https://www.nice.org.uk/guidance/ng84\" target=\"_blank\">Sore throat (acute): antimicrobial prescribing</a> )</p>\r\n\t\t\t\t\t\t<p><strong>General self-care advice for all people with acute sore throat</strong></p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>Consider paracetamol for pain or fever, or if preferred and suitable, ibuprofen.</li>\r\n\t\t\t\t\t\t\t\t<li>Advise about the adequate intake of fluids.</li>\r\n\t\t\t\t\t\t\t\t<li>Explain that some adults may wish to try medicated lozenges containing either a local anaesthetic, a non-steroidal anti-inflammatory drug (NSAID) or an antiseptic. However, they may only help to reduce pain by a small amount.</li>\r\n\t\t\t\t\t\t\t\t<li>Be aware that NICE guidance found no evidence was found on non-medicated lozenges, mouthwashes, or local anaesthetic mouth spray used on its own.</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\t<strong>Advice for people who are unlikely to benefit from an antibiotic</strong> (<a href=\"https://www.nice.org.uk/guidance/ng84/chapter/terms-used-in-the-guideline\" target=\"_blank\">\r\n\t\t\t\t\t\t\t\t\t\tFeverPAIN score\r\n\t\t\t\t\t\t\t\t</a> of 0 or 1, or <a href=\"https://www.nice.org.uk/guidance/ng84/chapter/terms-used-in-the-guideline\" target=\"_blank\">Centor score</a> of 0, 1 or 2):\r\n\t\t\t\t\t\t</p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tan antibiotic not being needed\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>seeking medical help if symptoms worsen rapidly or significantly, do not start to improve after 1 week, or the person becomes systemically very unwell.</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<p><strong>Advice for people who may be more likely to benefit from an antibiotic</strong> ( <a href=\"https://www.nice.org.uk/guidance/ng84/chapter/terms-used-in-the-guideline\" target=\"_blank\">FeverPAIN score</a> of 2 or 3)</p>\r\n\t\t\t\t\t\t<p>When a back-up antibiotic prescription is given, as well as the general self-care advice above, give advice about:</p>\r\n\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tan antibiotic not being needed immediately\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tusing the back-up prescription if symptoms do not start to improve within 3 to 5 days or if they worsen rapidly or significantly at any time\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>seeking medical help if symptoms worsen rapidly or significantly or the person becomes systemically very unwell.</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<p><strong>Advice for people who are most likely to benefit from an antibiotic</strong> (<a href=\"https://www.nice.org.uk/guidance/ng84/chapter/terms-used-in-the-guideline\" target=\"_blank\">FeverPAIN score</a> of 4 or 5, or <a href=\"https://www.nice.org.uk/guidance/ng84/chapter/terms-used-in-the-guideline\" target=\"_blank\">Centor score</a> of 3 or 4)</p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>When an immediate antibiotic prescription is given, as well as the general self-care advice above, give advice about seeking medical help if symptoms worsen rapidly or significantly or the person becomes systemically very unwell.</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t`\r\n\t\t\t\t},\r\n\t\t\t\t{\r\n\t\t\t\t\tdisplay: false,\r\n\t\t\t\t\ttitle: \"Severe complications\",\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t<p>(<a href=\"https://gpnotebook.com/\" target=\"_blank\">Based on GP Notebook</a>)</p>\r\n\t\t\t\t\t<h3 class=\"txt--lg\">Peritonsillar abscess (Quinsy)</h3>\r\n\t\t\t\t\t\t<p><strong>Clinical features</strong></p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>the patient is already suffering from acute tonsillitis</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tthe patient continues to become more ill\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\treferred earache is a common feature\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tthe patient develops severe dysphagia\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>trismus is often a feature</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\t<strong>\r\n\t\t\t\t\t\t\t\t\t\tOn examination\r\n\t\t\t\t\t\t\t\t</strong>\r\n\t\t\t\t\t\t</p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tthe buccal mucosa is dirty and fetor is present\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tthe uvula may be very oedematous and displaced downwards and medially by the infected tonsil\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>the uvula may be so oedematous so as to resemble a white grape</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<h3 class=\"txt--lg\">Scarlet fever</h3>\r\n\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\t<strong>\r\n\t\t\t\t\t\t\t\t\t\tClinical features\r\n\t\t\t\t\t\t\t\t</strong>\r\n\t\t\t\t\t\t</p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>Fever (usually above 38.3º C/101º F or higher)</li>\r\n\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tHeadache, malaise, nausea and vomiting\r\n\t\t\t\t\t\t\t\t</li>\r\n\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tSwollen neck glands\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tCharacteristic fine red rash\r\n\t\t\t\t\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tdevelops twelve to forty eight hours after the onset of these symptoms\r\n\t\t\t\t\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tfirst appears on the chest and stomach and later covers the entire body and limbs and consists of many small papules on diffuse erythema that blanches on pressure.\r\n\t\t\t\t\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\toften more marked over the skinfolds where transverse lines containing tiny petichae may be seen\r\n\t\t\t\t\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tthe rash lasts for a period of two to three days, after which desquamation occurs that is most prominent on the soles of the feet and the palms of the hands\r\n\t\t\t\t\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tExamination of the throat generally reveals that the pharynx is diffusely reddened, with enlarged and red tonsils covered with a white exudate.\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tTongue may be initially furred with enlarged papillae - an appearance described as a 'white strawberry tongue', lost after two or three days to become strawberry tongue.\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tUsually there is enlargement of regional lymph nodes\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tFlushed red face with paleness around the mouth\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<h3 class=\"txt--lg\">Acute rheumatic fever</h3>\r\n\t\t\t\t\t\t<p><strong>Clinical features</strong></p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tpatients are 5 to 15 years old\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tstreptococcal infection is a prerequisite for subsequent development of rheumatic fever\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tthe latent period following a streptococcal infection is 2 to 6 weeks\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\ttypically the patient will have migratory polyarthritis with a low-grade fever\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\t50-75% of children will develop acute carditis; in adults this figure is only 35%\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tmyocarditis causes arrythmias, usually atrial fibrillation, and a prolonged P-R interval\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tcardiac dilatation may occur, resulting in murmurs of valvular insufficiency, mitral most commonly, then aortic, then tricuspid\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tvalvulitis is marked by the systolic murmur of mitral regurgitation and the diastolic murmur of aortic regurgitation\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tsubcutaneous nodules are a rare feature\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t\t<p><strong>Other abnormal findings on cardiovascular examination include</strong></p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\tsinus tachycardia\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\traised jugular venous pressure, due to heart failure which is now rare\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\t\t\ta Carey-Coombs murmur\r\n\t\t\t\t\t\t\t\t</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t`\r\n\t\t\t\t},\r\n\t\t\t\t{\r\n\t\t\t\t\tdisplay: true,\r\n\t\t\t\t\ttitle: \"Regulatory Information\",\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t<strong>Product Name: </strong>Calculator Suite <br>\r\n\t\t\t\t\t\t<strong>Calculator Name: </strong>FeverPAIN Score for Streptococcal Pharyngitis<br>\r\n\t\t\t\t\t\t<strong>Calculator Version: </strong> v2.0.0\r\n\t\t\t\t\t\t</p>  \r\n\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t<div class=\"col-xs-4 col-lg-2\">\r\n\t\t\t\t\t\t\t<img src=\"/img/cemark/shii.png\" alt=\"InnoScot Health\"/>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t<div class=\"col-xs-8 col-lg-10\">\r\n\t\t\t\t\t\t\t<p>\r\n                  InnoScot Health<br>\r\n                  272 Bath Street<br>\r\n                  Glasgow<br>\r\n                  Scotland<br>\r\n                  G2 4JR\r\n                </p>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t\t<div class=\"col-xs-12\">\r\n\t\t\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\t<img src=\"/img/cemark/ukca.png\" alt=\"UK Conformity Assessed\"/>\r\n\t\t\t\t\t\t\t\t<!-- <img src=\"/img/cemark/ce.png\" alt=\"CE marking\"/> -->\r\n\t\t\t\t\t\t\t\t</p>\r\n\t\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t\t<div class=\"col-xs-4 col-lg-2\">\r\n\t\t\t\t\t\t\t\t<img src=\"/img/cemark/warning.png\" alt=\"InnoScot Health\"/>\r\n\t\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t\t<div class=\"col-xs-8 col-lg-10\">\r\n\t\t\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\t<strong>Calculators are <u>not</u> intended to be used by members of the public as a substitute for professional advice.</strong>\r\n\t\t\t\t\t\t\t\t</p>\r\n\t\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t\t<div class=\"col-xs-4 col-lg-2\">\r\n\t\t\t\t\t\t\t\t<img src=\"/img/cemark/info.png\" alt=\"More Information on Right Decision\"/>\r\n\t\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t\t<div class=\"col-xs-8 col-lg-10\">\r\n\t\t\t\t\t\t\t\t<p>\r\n\t\t\t\t\t\t\t\t\t<a href=\"https://rightdecision.scot.nhs.uk/quality-assurance-and-regulation/calculator-suite-instructions-for-use.pdf\" target=\"_blank\">Instructions for use</a>\r\n\t\t\t\t\t\t\t\t</p>\r\n\t\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t`\r\n\t\t\t\t}\r\n\t\t\t]\r\n\t\t}\r\n  }\r\n};\r\n</script>\r\n","import mod from \"-!../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../node_modules/thread-loader/dist/cjs.js!../../node_modules/babel-loader/lib/index.js!../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Content.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../node_modules/thread-loader/dist/cjs.js!../../node_modules/babel-loader/lib/index.js!../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Content.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./Content.vue?vue&type=template&id=ebe0ed0c&\"\nimport script from \"./Content.vue?vue&type=script&lang=js&\"\nexport * from \"./Content.vue?vue&type=script&lang=js&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports","<template>\r\n\t<div id=\"calc\" class=\"calculator wrapper container-fluid\" @click.stop.prevent=\"handleClick\">\r\n\r\n\t\t<p class=\"txt--xl mb--2 mb-2\">\r\n\t\t\tPredicts likelihood of streptococcal sore throat, and suggests whether use of antibiotics is appropriate.\r\n\t\t</p>\r\n\r\n\t\t<div class=\"tabs mb--2\">\r\n\t\t\t<nav class=\"tabs__nav\">\r\n\t\t\t\t<button v-for=\"(tab) in tabs\" v-bind:key=\"tab.title\" role=\"button\" class=\"tabs__nav-item txt--strong\" :class=\"{ 'tabs__nav-item--active bg--primary': tab.display }\" v-on:click=\"selectTab(tab)\">\r\n\t\t\t\t\t<span v-html=\"tab.title\"></span>\r\n\t\t\t\t\t<i v-if=\"!tab.display\" aria-hidden=\"true\" class=\"fa fa-chevron-down ml-1 ml--1 show--md\"></i>\r\n\t\t\t\t\t<i v-if=\"tab.display\" aria-hidden=\"true\" class=\"fa fa-chevron-up ml-1 ml--1 show--md\"></i>\t\r\n\t\t\t\t</button>\r\n\t\t\t</nav>\r\n\t\t\t<div class=\"tabs__content\" id=\"tabcontent\">\r\n\t\t\t\t<div v-for=\"(tab) in tabs\" v-bind:key=\"tab.content\">\r\n\t\t\t\t\t<div v-if=\"tab.display\" class=\"bdr--light-gray p--1 wysiwyg\" role=\"tabpanel\" :aria-labelledby=\"tab.title\" v-html=\"tab.content\"></div>\r\n\t\t\t\t</div>\r\n\t\t\t</div>\r\n\t\t</div>\r\n\r\n\t\t<div class=\"questions__intro-text\">\r\n\t\t\t<div class=\"row\">\r\n\t\t\t\t<div class=\"col-xs-12\">\r\n\t\t\t\t\t<p>Click on the answer to each question below, then click on Calculate.</p>\r\n\t\t\t\t</div>\r\n\t\t\t</div>\r\n\t\t</div>\r\n\r\n\t\t<div class=\"row\" v-for=\"q in questions\" :key=\"q.id\">\r\n\t\t\t<div class=\"col-12 col-xs-12 mb-1 mb--1\">\r\n\t\t\t\t<div class=\"row\" v-if=\"q.header != ''\">\r\n\t\t\t\t\t<div class=\"col-12 col-xs-12\"><h2>{{q.header}}</h2></div>\r\n\t\t\t\t</div>\r\n\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t<div class=\"col-12 col-xs-12 col-sm-6\">\r\n\t\t\t\t\t\t<h3 class=\"txt--xl mb-1 mb--1\">{{q.title}}</h3>\r\n\t\t\t\t\t\t<p v-html=\"q.info\"></p>\r\n\t\t\t\t\t</div>\r\n\t\t\t\t\t<div class=\"col-12 col-xs-12 col-sm-6\">\r\n\t\t\t\t\t\t<div class=\"list-group\">\r\n\t\t\t\t\t\t\t<div v-for=\"o in q.options\" :key=\"o.id\">\r\n\t\t\t\t\t\t\t\t<button @click=\"optionclicked(q.id,o.id)\"\r\n\t\t\t\t\t\t\t\t\t\t@keydown.enter=\"optionclicked(event, q.id,o.id)\"\r\n\t\t\t\t\t\t\t\t\t\ttype=\"button\"\r\n\t\t\t\t\t\t\t\t\t\tv-bind:class=\"{'list-group-item list-group-item-action d-flex justify-content-between align-items-center active':(o.selected), 'list-group-item list-group-item-action d-flex justify-content-between align-items-center':(!o.selected)}\">\r\n\t\t\t\t\t\t\t\t\t{{o.text}}\r\n\t\t\t\t\t\t\t\t\t<span class=\"badge badge-success badge-pill\">{{o.value_label}}</span>\r\n\t\t\t\t\t\t\t\t</button>\r\n\t\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t</div>\r\n\t\t\t\t</div>\r\n\t\t\t\t<hr class=\"mb-2 mb--2\">\r\n\t\t\t</div>\r\n\t\t</div>\r\n\t\t<div id=\"error\" class=\"row\">\r\n\t\t\t<div class=\"col-12 col-xs-12\">\r\n\t\t\t\t<div class=\"alert alert-info alert--info alert-informative mb-3 mb--3\" role=\"alert\" v-if=\"errormessage.length > 0\" v-html=\"errormessage\"></div>\r\n\t\t\t</div>\r\n\t\t</div>\r\n\t\t<div class=\"row\">\r\n\t\t\t<div class=\"col-12 col-xs-12\">\r\n\t\t\t\t<div class=\"calculator__result bg-secondary bg--secondary p--2 p-2 mb--2 mb-2\">\r\n\t\t\t\t\t<div id=\"calculator-copy\" class=\"color--white text-white mb-1 mb--1\" v-if=\"displayresult\">\r\n\t\t\t\t\t\t<div id=\"result-response\" v-if=\"isvalid\"></div>\t\t\t\t\t\r\n\t\t\t\t\t\t<p v-if=\"result.text.length > 0 && errormessage.length == 0\" class=\"h3 txt--xl\"><strong>Recommendation:</strong> {{result.text}}</p>\t\r\n\t\t\t\t\t\t<h3 v-if=\"errormessage.length == 0\"  class=\"h4 txt--lg\"><strong>Total FeverPAIN Score</strong> : {{result.score}}</h3>\r\n\t\t\t\t\t\t<h3 v-if=\"errormessage.length > 0\"  class=\"h4 txt--lg\"><strong>Total FeverPAIN Score</strong> : N/A</h3>\r\n\t\t\t\t\t\t<p v-if=\"result.calctext.length > 0 && errormessage.length == 0\" v-html=\"result.subtext\"></p>\r\n\t\t\t\t\t\t<p v-if=\"result.text.length > 0\" v-html=\"result.calctext\"></p>\r\n\t\t\t\t\t</div>\r\n\t\t\t\t\t<div class=\"control-holder\">\r\n\t\t\t\t\t\t<button class=\"btn mr-1 mr--1\" @click=\"calculateclicked\" type=\"button\" v-if=\"!displayresult\">Calculate</button>\r\n\t\t\t\t\t\t<button class=\"btn mr-1 mr--1\" type=\"button\" @click=\"reset\" v-if=\"displayresult\">Reset</button>\r\n            <button class=\"btn mr-1 mr--1\" id=\"copyButton\" type=\"button\" @click=\"copyToClipboard\" v-if=\"displayresult\">Copy Result</button>\r\n\t\t\t\t\t\t<button class=\"btn mr-1 mr--1 hide--quris\" type=\"button\" @click=\"displayForm\" v-if=\"displayresult\">Email PDF</button>\r\n\t\t\t\t\t</div>\r\n\t\t\t\t</div>\r\n\t\t\t\t<div class=\"bg--offwhite bg-offwhite p-2 p--2\" v-if=\"displayresult && showform\">\t\t\t\t\t\r\n\t\t\t\t\t\t<p class=\"color--black\">For security reasons, this form is only available within the NHS network. You can use it to email to an NHS email a PDF with the decision support result for this patient and then save it to the patient record.</p>\r\n\t\t\t\t\t\t<div class=\"color--black alert alert-danger alert--error mb-1 mb--1\" role=\"alert\" v-if=\"emailmessage.length > 0\" v-html=\"emailmessage\"></div>\r\n\t\t\t\t\t\t<div class=\"form__group mb--2\">\r\n\t\t\t\t\t\t\t<label for=\"emailaddresses\" class=\"form__label mb--1 txt--strong\">Email addresses:</label>\r\n\t\t\t\t\t\t\t<input v-model=\"emailaddresses\" type=\"text\" class=\"form__input\" name=\"emailaddresses\" id=\"emailaddresses\" placeholder=\"Enter email address(es) to receive this decision support output. NHS emails only\">\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t<div class=\"form__group mb--2\">\r\n\t\t\t\t\t\t\t<label for=\"patientname\" class=\"form__label mb--1 txt--strong\">Patient's Full Name:</label>\r\n\t\t\t\t\t\t\t<input v-model=\"patientname\" type=\"text\" class=\"form__input\" name=\"patientname\" id=\"patientname\" placeholder=\"Enter patient’s full name\">\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t<div class=\"form__group mb--2\">\r\n\t\t\t\t\t\t\t<label for=\"patientchinumber\" class=\"form__label mb--1 txt--strong\">Patient CHI Number:</label>\r\n\t\t\t\t\t\t\t<input v-model=\"patientchinumber\" type=\"text\" class=\"form__input\" name=\"patientchinumber\" id=\"patientchinumber\" placeholder=\"Enter patient’s CHI number\">\r\n\t\t\t\t\t\t</div>\r\n\t\t\t\t\t\t<button class=\"btn mr-1 mr--1\" type=\"button\" @click=\"sendToPDF\">Send</button>\r\n\t\t\t\t\t</div>\r\n\t\t\t\t\t<div class=\"alert alert-success alert--success mb-3 mb--3 \" role=\"alert\" v-if=\"displayresult && !showform && emailmessage.length > 0 && emailaddresses.length > 0 && patientname.length > 0 && patientchinumber.length > 0\" v-html=\"emailmessage\"></div>\r\n\t\t\t</div>\r\n\t\t</div>\r\n\t\t<Content />\r\n\t</div>\r\n</template>\r\n\r\n<script>\r\nimport Content from '@/components/Content';\r\nimport \"isomorphic-fetch\";\r\n\r\nexport default {\r\n\tname: \"Calculator\",\r\n\tcomponents: {\r\n    Content\r\n  },\r\n  data() {\r\n    return {\r\n      emailaddresses: \"\",\r\n      patientname: \"\",\r\n      patientchinumber: \"\",\r\n      questions: [\r\n        {\r\n          id: \"q1\",\r\n\t\t\t\t\ttitle: \"Fever in past 24 hours\",\r\n\t\t\t\t\theader: \"History\",\r\n          required: true,\r\n          info: \"\",\r\n          options: [\r\n            {\r\n              id: \"o1\",\r\n              text: \"No\",\r\n              value_label: \"0\",\r\n              value: 0,\r\n              selected: false\r\n            },\r\n            {\r\n              id: \"o2\",\r\n              text: \"Yes\",\r\n              value_label: \"+1\",\r\n              value: 1,\r\n              selected: false\r\n            }\r\n          ]\r\n        },\r\n        {\r\n          id: \"q2\",\r\n          title: \"Absence of cough or coryza\",\r\n\t\t\t\t\theader: \"\",\r\n          required: true,\r\n          info: \"\",\r\n          options: [\r\n            {\r\n              id: \"o3\",\r\n              text: \"No\",\r\n              value_label: \"0\",\r\n              value: 0,\r\n              selected: false\r\n            },\r\n            {\r\n              id: \"o4\",\r\n              text: \"Yes\",\r\n              value_label: \"+1\",\r\n              value: 1,\r\n              selected: false\r\n            }\r\n          ]\r\n        },\r\n        {\r\n          id: \"q3\",\r\n          title: \"Symptom onset 3 days or less\",\r\n\t\t\t\t\theader: \"\",\r\n          required: true,\r\n          info: \"\",\r\n          options: [\r\n            {\r\n              id: \"o3\",\r\n              text: \"No\",\r\n              value_label: \"0\",\r\n              value: 0,\r\n              selected: false\r\n            },\r\n            {\r\n              id: \"o4\",\r\n              text: \"Yes\",\r\n              value_label: \"+1\",\r\n              value: 1,\r\n              selected: false\r\n            }\r\n          ]\r\n        },\r\n        {\r\n          id: \"q4\",\r\n          title: \"Purulent tonsils\",\r\n\t\t\t\t\theader: \"Physical exam findings\",\r\n          required: true,\r\n          info: \"\",\r\n          options: [\r\n            {\r\n              id: \"o3\",\r\n              text: \"No\",\r\n              value_label: \"0\",\r\n              value: 0,\r\n              selected: false\r\n            },\r\n            {\r\n              id: \"o4\",\r\n              text: \"Yes\",\r\n              value_label: \"+1\",\r\n              value: 1,\r\n              selected: false\r\n            }\r\n          ]\r\n        },\r\n        {\r\n          id: \"q5\",\r\n          title: \"Severe inflammation of tonsils\",\r\n\t\t\t\t\theader: \"\",\r\n          required: true,\r\n          info: \"\",\r\n          options: [\r\n            {\r\n              id: \"o3\",\r\n              text: \"No\",\r\n              value_label: \"0\",\r\n              value: 0,\r\n              selected: false\r\n            },\r\n            {\r\n              id: \"o4\",\r\n              text: \"Yes\",\r\n              value_label: \"+1\",\r\n              value: 1,\r\n              selected: false\r\n            }\r\n          ]\r\n        }\r\n      ],\r\n      result: {\r\n        score: 0,\r\n        calctext: \"\",\r\n        text: \"\",\r\n        subtext: \"\"\r\n      },\r\n      displayresult: false,\r\n      showform: false,\r\n      errormessage: \"\",\r\n      emailmessage: \"\",\r\n      isvalid: false,\r\n      answered_count: 0,\r\n\t\t\tanswer_acutechange: false,\r\n\t\t\ttabs: [\r\n        {\r\n\t\t\t\t\ttitle: \"When to use\",\r\n\t\t\t\t\tdisplay: false,\r\n          accordion: false,\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t\t<p>Use for patients 3 years or older in primary care settings with recent onset (3 days or less) acute pharyngitis. Should not be used in children <3 years old, as they are more likely to have viral infections and/or atypical presentations of streptococcal infection.</p>\r\n\t\t\t\t\t\t<p>While further validation is  required, FeverPAIN may have better utility than Centor at lower levels to detect patients who could forgo antibiotic treatment (<a href=\"https://www.ncbi.nlm.nih.gov/books/NBK261552/\" target=\"_blank\">Little 2014</a>).</p>\r\n\t\t\t\t\t\t<p>For patients that have worsening symptoms beyond 3 days, the clinician must consider the possibility of a more serious or invasive infection.</p>`,\r\n        },\r\n        {\r\n          title: \"Evidence\",\r\n\t\t\t\t\tdisplay: false,\r\n          accordion: false,\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t\t<p>The FeverPAIN Score was derived from <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3805475/#!po=87.5000\" target=\"_blank\">a 2013 study of 1,760 patients</a> aged 3 years and up. The objective of the authors was to design a clinical tool that was able to predict streptococcal infection,  to reduce the need for rapid antigen detection tests and potentially unnecessary antibiotics.  The study compared three groups: a control group in which patients received a delayed antibiotic prescription, a clinical score group, and a rapid antigen detection test group. The authors concluded that the use of a rapid antigen test according to a clinical score provided no clear advantage over a clinical score alone.  They also found that use of a clinical score improved symptoms and reduced antibiotic usage.</p>\r\n\t\t\t\t\t\t<h4 class=\"txt--lg\">References</h4>\r\n\t\t\t\t\t\t<p>Little P, Hobbs FD, Moore M, et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management)]. <em>BMJ</em>. 2013;347:f5806. Published 2013 Oct 10. <a href=\"https://www.bmj.com/content/347/bmj.f5806\" target=\"_blank\">doi:10.1136/bmj.f5806</a></p>\r\n\t\t\t\t\t\t<p>Little P, Hobbs FD, Moore M, et al. PRImary care Streptococcal Management (PRISM) study: in vitro study, diagnostic cohorts and a pragmatic adaptive randomised controlled trial with nested qualitative study and cost-effectiveness study [published correction appears in <em>Health Technol Assess</em>. 2018 Oct;18(6):103-104]. Health Technol Assess. 2014;18(6):vii-101. <a href=\"https://pubmed.ncbi.nlm.nih.gov/24467988/\" target=\"_blank\">doi:10.3310/hta18060</a></p>\r\n\t\t\t\t\t`,\r\n        },\r\n        {\r\n          title: \"Calculation<span class='show--md'> & interpretation</span>\",\r\n\t\t\t\t\tdisplay: false,\r\n          accordion: false,\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t\t<h4 class=\"txt--lg\">Calculation</h4>\r\n\t\t\t\t\t\t<p>To calculate the total FeverPAIN score, a score of  0 or +1 is assigned to Yes/No values for each criterion, as shown in the table below. The total FeverPAIN score is the result of adding the individual scores for each  criterion.</p>\r\n\t\t\t\t\t\t<table class=\"tbl table\">\r\n\t\t\t\t\t\t\t<tr>\r\n\t\t\t\t\t\t\t\t<th width=\"45%\">Name</th>\r\n\t\t\t\t\t\t\t\t<th width=\"35%\">Input value</th>\r\n\t\t\t\t\t\t\t\t<th width=\"20%\" align=\"right\">Score</th>\r\n\t\t\t\t\t\t\t</tr>\r\n\t\t\t\t\t\t\t<tr>\r\n\t\t\t\t\t\t\t\t<td>Fever in past 24 hours</td>\r\n\t\t\t\t\t\t\t\t<td valign=\"top\" colspan=\"2\">\r\n                  <table>\r\n                    <tr style=\"display:none;\"><td colspan=\"2\">Data</td></tr>\r\n                    <tr>\r\n                      <td>No</td>\r\n                      <td align=\"right\">0</td>\r\n                    </tr>\r\n                    <tr>\r\n                      <td>Yes</td>\r\n                      <td align=\"right\">+1</td>\r\n                    </tr>\r\n                  </table>\r\n\t\t\t\t\t\t\t\t</td>\r\n\t\t\t\t\t\t\t</tr>\r\n\t\t\t\t\t\t\t<tr>\r\n\t\t\t\t\t\t\t\t<td>Absence of cough or coryza</td>\r\n\t\t\t\t\t\t\t\t<td valign=\"top\" colspan=\"2\">\r\n                  <table>\r\n                    <tr style=\"display:none;\"><td colspan=\"2\">Data</td></tr>\r\n                    <tr>\r\n                      <td>No</td>\r\n                      <td align=\"right\">0</td>\r\n                    </tr>\r\n                    <tr>\r\n                      <td>Yes</td>\r\n                      <td align=\"right\">+1</td>\r\n                    </tr>\r\n                  </table>\r\n\t\t\t\t\t\t\t\t</td>\r\n\t\t\t\t\t\t\t</tr>\r\n\t\t\t\t\t\t\t<tr>\r\n\t\t\t\t\t\t\t\t<td>Symptom onset <=3 days</td>\r\n\t\t\t\t\t\t\t\t<td valign=\"top\" colspan=\"2\">\r\n                  <table>\r\n                    <tr style=\"display:none;\"><td colspan=\"2\">Data</td></tr>\r\n                    <tr>\r\n                      <td>No</td>\r\n                      <td align=\"right\">0</td>\r\n                    </tr>\r\n                    <tr>\r\n                      <td>Yes</td>\r\n                      <td align=\"right\">+1</td>\r\n                    </tr>\r\n                  </table>\r\n\t\t\t\t\t\t\t\t</td>\r\n\t\t\t\t\t\t\t</tr>\r\n\t\t\t\t\t\t\t<tr>\r\n\t\t\t\t\t\t\t\t<td>Purulent tonsils</td>\r\n\t\t\t\t\t\t\t\t<td valign=\"top\" colspan=\"2\">\r\n                  <table>\r\n                    <tr style=\"display:none;\"><td colspan=\"2\">Data</td></tr>\r\n                    <tr>\r\n                      <td>No</td>\r\n                      <td align=\"right\">0</td>\r\n                    </tr>\r\n                    <tr>\r\n                      <td>Yes</td>\r\n                      <td align=\"right\">+1</td>\r\n                    </tr>\r\n                  </table>\r\n\t\t\t\t\t\t\t\t</td>\r\n\t\t\t\t\t\t\t</tr>\r\n\t\t\t\t\t\t\t<tr>\r\n\t\t\t\t\t\t\t\t<td>Severe inflammation of tonsils</td>\r\n\t\t\t\t\t\t\t\t<td valign=\"top\" colspan=\"2\">\r\n                  <table>\r\n                    <tr style=\"display:none;\"><td colspan=\"2\">Data</td></tr>\r\n                    <tr>\r\n                      <td>No</td>\r\n                      <td align=\"right\">0</td>\r\n                    </tr>\r\n                    <tr>\r\n                      <td>Yes</td>\r\n                      <td align=\"right\">+1</td>\r\n                    </tr>\r\n                  </table>\r\n\t\t\t\t\t\t\t\t</td>\r\n\t\t\t\t\t\t\t</tr>\r\n\t\t\t\t\t\t</table>\r\n\t\t\t\t\t\t<h4 class=\"txt--xl\">Interpreting FeverPAIN scores</h4>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t\t<li>A score of 0-1 is associated with 13-18% isolation of streptococcus (close to background carriage rates).   No antibiotics recommended.</li>\r\n\t\t\t\t\t\t\t<li>A score of 2 is associated with 30-35% isolation of streptococcus. Delayed antibiotic may be appropriate.</li>\r\n\t\t\t\t\t\t\t<li>A score of 3 is associated with 39-48% isolation of streptococcus. Delayed antibiotic may be appropriate.</li>\r\n\t\t\t\t\t\t\t<li>A score of 4 or more is associated with 62-65% isolation of streptococcus. Consider antibiotics if symptoms are severe or a short delayed prescribing strategy may be appropriate (48 hours).</li>\r\n\t\t\t\t\t\t</ul>\r\n\t\t\t\t\t`,\r\n        },{\r\n          title: \"Practice<span class='show--md'> considerations</span>\",\r\n\t\t\t\t\tdisplay: false,\r\n          accordion: false,\r\n\t\t\t\t\tcontent: `\r\n\t\t\t\t\t\t<p>In applying the FeverPAIN score in practice, clinicians should be aware that:</p>\r\n\t\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t<li>The <a href=\"https://www.nice.org.uk/guidance/dg38/chapter/3-Evidence\" target=\"_blank\">NICE Diagnostic guidance</a> on rapid tests for Group A streptococcal infections in people with sore throat was unable to identify any studies reporting the accuracy of the FeverPAIN scoring tool, so could not report on its sensitivity and specificity.</li>\r\n\t\t\t\t\t\t<li>The FeverPAIN criteria were developed in a UK primary care setting in 2013 (in contrast to Centor, which was developed for a US emergency department population).</li>\r\n\t\t\t\t\t\t<li>FeverPAIN has not been assessed in children under 3 years.</li>\r\n\t\t\t\t\t\t<li>External validation has not been carried out, but FeverPAIN has been tested in an RCT setting.</li>\r\n\t\t\t\t\t\t<li>A FeverPAIN score of 4 or 5 is thought to be associated with a 62-65% probability of having a bacterial infection, which is slightly higher than the 32-56% probability associated with a Centor score of 3 or 4. Using FeverPAIN in preference to Centor may therefore increase the use of antibiotic prescribing.</li>\r\n\t\t\t\t\t\t<li>The <a target=\"_blank\" href=\"https://www.nice.org.uk/guidance/NG84/chapter/Summary-of-the-evidence#identifying-people-more-likely-to-benefit-from-antibiotics\">NICE guideline NG84 overview</a> of identifying people most likely to benefit from antibiotics includes a fuller comparison of Centor and FeverPAIN scoring systems.</li>\r\n\t\t\t\t\t</ul>\r\n\t\t\t\t\t`,\r\n        }\r\n      ]\r\n    };\r\n  },\r\n  methods: {\t\r\n    handleClick(e) {\r\n      if (e.target.matches(\"a\")) {\r\n        let url = e.target.href;\r\n        let target = e.target.target == \"_blank\" ? \"_blank\" : \"_self\";\r\n        let dataId = e.target.dataset.id == null ? -1 : e.target.dataset.id;\r\n        var isnativeapp = document.getElementById(\"isnativeapp\");\r\n        if (isnativeapp === undefined || isnativeapp === null) \r\n        {\r\n          window.open(url,target);  \r\n        }\r\n        else{\r\n          if(target == \"_blank\") {\r\n            let data = {title:'',nodeid: dataId, href:url, target: target};\r\n            window.Native('dataCallback', data);\r\n          } \r\n        }\t\r\n      }\r\n    },\r\n\t\tselectTab(selectedTab) {\r\n\t\t\tthis.tabs.forEach(tab => {\r\n\t\t\t\tif(tab.display) {\r\n\t\t\t\t\ttab.display = false;\r\n\t\t\t\t} else {\r\n\t\t\t\t\ttab.display = (tab.title == selectedTab.title);\r\n\t\t\t\t}\r\n\t\t\t});\r\n\t\t},\r\n    reset() {\r\n      this.emailaddresses = \"\";\r\n      this.patientname = \"\";\r\n      this.patientchinumber = \"\";\r\n      this.result.score = 0;\r\n      this.result.calctext = \"\";\r\n      this.result.text = \"\";\r\n      this.displayresult= false;\r\n      this.showform = false;\r\n      this.errormessage= \"\";\r\n      this.emailmessage = \"\";\r\n      this.isvalid= false;\r\n      this.answered_count= 0;\r\n      this.answer_acutechange= false;\r\n      this.questions.forEach(q => {\r\n        q.options.forEach(o => {\r\n            o.selected = false;\r\n          });\r\n      });\r\n    },\r\n    calculateclicked() {\r\n\t\t\tthis.emailmessage\t= \"\";\r\n      this.emailaddresses = \"\";\r\n      this.patientname = \"\";\r\n      this.patientchinumber = \"\";\r\n      this.showform = false;\r\n\t\t\tthis.displayresult = true;\r\n      if (this.answered_count < this.questions.length) {\r\n        this.errormessage =\t\"<h2 class='txt--lg'>One or more inputs missing. </h2>\";\r\n\t\t\t\tthis.errormessage += \"<p>Total FeverPAIN score cannot be calculated as one or more inputs are missing. </p>\";\r\n\t\t\t\tthis.errormessage += \"<p>Required inputs are: Fever in past 24 hours, Absence of cough or coryza, Symptom onset <= 3 days, Purulent tonsils, Severe tonsil inflammation. </p>\";\r\n\t\t\t\tthis.errormessage += \"<p>If any 4 of the 5 FeverPAIN criteria are met, consider antibiotics as there is a 62-65% probability of isolation of streptococcus</p>\";\r\n\t\t\t\tsetTimeout(()=> {\r\n\t\t\t\t\tdocument.getElementById(\"error\").scrollIntoView(true)},100);\r\n      } else {\r\n        this.errormessage = \"\";\r\n      }\r\n\t\t},\r\n\t\tdisplayForm(){\t\t\r\n      this.showform = !this.showform;\r\n\t\t},\r\n    copyToClipboard() {\r\n      var range;\r\n      var finalText = \"\";\r\n      if (document.selection) { // IE\r\n        range = document.body.createTextRange();\r\n        range.moveToElementText(document.getElementById('calculator-copy'));\r\n        range.select();\r\n        finalText = this.getDateToday() + \"\\n\\nFeverPAIN Score for Strep Pharyngitis\\n\\n\" + range + \"\\nEnter action taken as a result of this alert\";\r\n        document.selection.empty();\r\n      } else if (window.getSelection) {\r\n        range = document.createRange();\r\n        range.selectNode(document.getElementById('calculator-copy'));\r\n        window.getSelection().removeAllRanges();\r\n        window.getSelection().addRange(range);\r\n        finalText = this.getDateToday() + \"\\n\\nFeverPAIN Score for Strep Pharyngitis\\n\\n\" + window.getSelection().toString() + \"Enter action taken as a result of this alert\";\r\n        window.getSelection().removeAllRanges();\r\n      }\r\n      var dummy = document.createElement(\"textarea\");\r\n      // Add it to the document\r\n      document.body.appendChild(dummy);\r\n\r\n      // Set its ID\r\n      dummy.setAttribute(\"id\", \"dummy_id\");\r\n\r\n      // Output the array into it\r\n      document.getElementById(\"dummy_id\").value = finalText;\r\n\r\n      // Select it\r\n      dummy.select();\r\n\r\n      // Copy its contents\r\n      document.execCommand(\"copy\");\r\n\r\n      // Remove it as its not needed anymore\r\n      document.body.removeChild(dummy);\r\n\r\n      var clicked = false;\r\n      var copyButton = document.getElementById('copyButton');\r\n      if (!clicked) {\r\n            var last = copyButton.innerHTML;\r\n            copyButton.innerHTML = 'Copied!';\r\n            clicked = true;\r\n            setTimeout(function () {\r\n                copyButton.innerHTML = last;\r\n                clicked = false;\r\n            }.bind(copyButton), 5000);\r\n        }\r\n    },\r\n    getDateToday() {\r\n      var date = \"\";\r\n      var today = new Date();\r\n      date = today.getDate() + \"/\" + (today.getMonth() + 1) + \"/\" + today.getFullYear() + \" \" + (today.getHours() < 10 ? \"0\" + today.getHours() : today.getHours()) + \":\" + (today.getMinutes() < 10 ? \"0\" + today.getMinutes() : today.getMinutes());\r\n      return date;\r\n    },\r\n    sendToPDF() {\r\n\t\t\t\tif (this.patientchinumber == \"\" || this.patientname == \"\" || this.patientchinumber == \"\"){\r\n\t\t\t\t\t\tthis.emailmessage = \"All fields are required.\"\r\n\t\t\t\t}\r\n        else {\r\n            var formToPost = {\r\n                EmailAddresses: this.emailaddresses,\r\n                PatientName: this.patientname,\r\n                PatientChiNumber: this.patientchinumber,\r\n                Questions: this.questions,\r\n                Result: this.result,\r\n                DisplayWarning: this.answered_count < this.questions.length,\r\n            };\r\n\r\n            var model = JSON.stringify(formToPost);\r\n\r\n            fetch(\"/SoreThroat/GetFeverPainPDF\", {\r\n                method: 'POST',\r\n                headers: {\r\n                    'Content-Type': 'application/json'\r\n                },\r\n                body: model\r\n            })\r\n                .then(response => response.text())\r\n                .then(data => {\r\n                    if (data.startsWith(\"Email Error: \")) {\r\n                        this.emailmessage = data.replace(\"Email Error: \", \"\");\r\n                        this.showform = true;\r\n                    } else {\r\n                        this.emailmessage = data;\r\n                        this.showform = false;\r\n                    }\r\n                })\r\n                .catch((error) => {\r\n                    console.log('EMAIL ERROR', error);\r\n                });\r\n        }\r\n    },\r\n\t\tanchorLink(i) {\r\n\t\t\tvar element = document.getElementById(i);\r\n\t\t\telement.scrollIntoView();\r\n\t\t},\r\n\t\t\r\n    closedclicked() {\r\n      this.displayresult = false;\r\n    },\r\n    optionclicked(qid, oid) {\r\n      this.displayresult = false;\r\n      let _score = 0;\r\n      this.questions.forEach(q => {\r\n        if (q.id === qid) {\r\n          q.options.forEach(o => {\r\n            if (o.id === oid) {\r\n              if(o.selected)\r\n              {\r\n                o.selected = false;\r\n              }\r\n              else\r\n              {\r\n                o.selected = true;\r\n              }\r\n              \r\n            } else {\r\n              o.selected = false;\r\n            }\r\n          });\r\n        }\r\n      });\r\n      let _cnt = 0;\r\n      let _required_cnt = 0;\r\n      let _required_answered_cnt = 0;\r\n      this.answer_acutechange = false;\r\n      this.questions.forEach(q => {\r\n        if (q.required) {\r\n          _required_cnt++;\r\n        }\r\n      });\r\n      this.questions.forEach(q => {\r\n        q.options.forEach(o => {\r\n          if (o.selected) {\r\n            _score += o.value;\r\n            _cnt++;\r\n          }\r\n          if (o.selected && q.required) {\r\n            _required_answered_cnt++;\r\n          }\r\n          // if (q.id === \"q4\") {\r\n          //   if (o.selected) {\r\n          //     this.answer_acutechange = true;\r\n          //   }\r\n          // }\r\n        });\r\n      });\r\n\r\n      this.answered_count = _cnt;\r\n      this.isvalid = _required_answered_cnt === _required_cnt ;\r\n      if (this.isvalid) {\r\n        this.errormessage = \"\";\r\n      }\r\n      this.result.score = _score;\r\n\r\n      if (_score <= 1) {\r\n\t\t\t\tthis.result.text = \"No antibiotics recommended\";\r\n\t\t\t\tthis.result.subtext = \"13-18% probability of isolation of streptococcus (close to background population rates).<br><br>Clinicians should refer to local guidance when appropriate.\"\r\n      }\r\n      if (_score == 2) {\r\n\t\t\t\tthis.result.text = \"Delayed antibiotic may be appropriate\";\r\n\t\t\t\tthis.result.subtext = \"30-35% probability of isolation of streptococcus.<br><br>Clinicians should refer to local guidance when appropriate.\"\r\n\t\t\t}\r\n\t\t\tif (_score == 3) {\r\n\t\t\t\tthis.result.text = \"Delayed antibiotic may be appropriate\";\r\n\t\t\t\tthis.result.subtext = \"39-48% probability of isolation of streptococcus.<br><br>Clinicians should refer to local guidance when appropriate.\"\r\n\t\t\t}\r\n\t\t\tif (_score == 4) {\r\n\t\t\t\tthis.result.text = \"Consider antibiotics if symptoms are severe or short delayed prescribing strategy may be appropriate (48 hours)\";\r\n\t\t\t\tthis.result.subtext = \"62-65% probability of isolation of streptococcus.<br><br>Clinicians should refer to local guidance when appropriate.\"\r\n\t\t\t}\r\n\r\n      \r\n\r\n      let _calctext = \"\";\r\n      let _idx2 = 0;\r\n      //let _len = this.questions.length;\r\n      this.questions.forEach(q => {\r\n        //_calctext = _calctext + q.title+\": \";\r\n\r\n        q.options.forEach(o => {\r\n          if (o.selected) {\r\n            if (_idx2 === 0) {\r\n\t\t\t\t\t\t\t_calctext = _calctext + \"<strong>\" + q.title + \"</strong><br><span class='badge badge-success badge-pill'>\"+ o.value_label + \"</span>&nbsp;\"+ o.text +\"<br><br>\";\r\n            } else {\r\n\t\t\t\t\t\t\t_calctext = _calctext + \"<strong>\" + q.title + \"</strong><br><span class='badge badge-success badge-pill'>\"+ o.value_label + \"</span>&nbsp;\"+ o.text +\"<br><br>\";\r\n            } \r\n          }\r\n\t\t\t\t});\r\n\r\n        _idx2++;\r\n      });\r\n      \r\n      this.result.calctext = _calctext;\r\n    }\r\n  }\r\n};\r\n</script>\r\n\r\n","import mod from \"-!../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../node_modules/thread-loader/dist/cjs.js!../../node_modules/babel-loader/lib/index.js!../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Calculator.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../node_modules/thread-loader/dist/cjs.js!../../node_modules/babel-loader/lib/index.js!../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Calculator.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./Calculator.vue?vue&type=template&id=1a2d83d4&\"\nimport script from \"./Calculator.vue?vue&type=script&lang=js&\"\nexport * from \"./Calculator.vue?vue&type=script&lang=js&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports","<template>\r\n  <div id=\"app\">\r\n    <Calculator/>\r\n  </div>\r\n</template>\r\n\r\n<script>\r\nimport Calculator from './components/Calculator.vue'\r\n\r\nexport default {\r\n  name: 'App',\r\n  components: {\r\n    Calculator\r\n  }\r\n}\r\n</script>\r\n","import mod from \"-!../node_modules/cache-loader/dist/cjs.js??ref--12-0!../node_modules/thread-loader/dist/cjs.js!../node_modules/babel-loader/lib/index.js!../node_modules/cache-loader/dist/cjs.js??ref--0-0!../node_modules/vue-loader/lib/index.js??vue-loader-options!./App.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../node_modules/cache-loader/dist/cjs.js??ref--12-0!../node_modules/thread-loader/dist/cjs.js!../node_modules/babel-loader/lib/index.js!../node_modules/cache-loader/dist/cjs.js??ref--0-0!../node_modules/vue-loader/lib/index.js??vue-loader-options!./App.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./App.vue?vue&type=template&id=3091ac46&\"\nimport script from \"./App.vue?vue&type=script&lang=js&\"\nexport * from \"./App.vue?vue&type=script&lang=js&\"\n\n\n/* normalize component */\nimport normalizer from \"!../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports","import Vue from 'vue'\r\nimport App from './App.vue'\r\n// import 'bootstrap'\r\n// import 'bootstrap/dist/css/bootstrap.min.css'\r\n// import './assets/css/base.css'\r\n// import '../../../base-redesign/dist/css/calculator-redesign.css'\r\n\r\nVue.config.productionTip = false\r\n\r\nnew Vue({\r\n  render: h => h(App),\r\n}).$mount('#app')\r\n"],"sourceRoot":""}