IDSA - Paradise Criteria for Tonsillectomy
Minimum frequency of sore throat episodes:
• Seven or more episodes in the preceding year, OR
• Five or more episodes in each of the preceding 2 y, OR
• Three or more episodes in each of the preceding 3 y
Clinical features
• Temperature > 38.3C (>101F), OR
• Cervical lymphadenopathy (tender lymph nodes or >2 cm), OR
• Tonsillar exudate, OR
• Positive culture for group A beta-hemolytic streptococcus
Treatment
• Antibiotics had been administered in conventional dosage for proved or suspected streptococcal episodes
Documentation
• Each episode and its qualifying features had been substantiated by contemporaneous notation in a clinical record, OR
• If not fully documented, subsequent observance by the clinician of 2 episodes of throat infection with patterns of frequency and clinical features consistent with the initial history
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