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 #Paradise #Criteria #Tonsillectomy #peds #pediatrics #idsa
