Infectious Mononucleosis

Infectious Mononucleosis in primary care, Dr Muireann de Paor is undertaking a programme of research on the study of Infectious Mononucleosis in primary care.

The three main aims are:

  1. to develop a clinical prediction rule (like the Centor Score for Strep throat) which will aid in the diagnosis of Infectious Mononucleosis. There hasn’t been one developed to date. The reasons for having an early positive clinical diagnosis of IM are to guide symptomatic management and advice for patients (avoiding potential complications e.g. splenic rupture if patient is not aware of their diagnosis), to give a more accurate prognosis, and to avoid unnecessary side effects from inappropriate antibiotics.
  2. to study the natural history of Infectious Mononucleosis in terms of patient-centred outcomes including time missed from college / work; persistent fatigue/quality of life 3 and 6 months
  3. to externally validate the Centor score clinical prediction rule to investigate whether the Centor score performs well in Irish primary care patients.