Bacterial pathogens causing acute bacterial sinusitis in children and adolescents
S. pneumoniae
H. influenzae
M. catarrhalis
Internal jugular vein septic thrombophlebitis
Pathogen?
Lemierre syndrome
F. necrophorum
Retropharyngeal nodes involute by __ , making infection in older children and adults less common.
5 yr
Usual pathogens of retropharyngeal and lateral pharyngeal infections
Group A streptococcus
Oropharyngeal anaerobic bacteria
Staphylococcus aureus
Antimicrobial treatment of retropharyngeal abscess
Third generation cephalosporin
plus ampicillin-sulbactam
Paradise criteria for tonsillectomy
- Frequency of sore throat
At least 7 times in the last year or
At least 5 times each year for the last 2 years or
At least 3 times each year for the last 3 years
Paradise criteria for tonsillectomy
- Clinical features
Sore throat plus at least 1 of the ff:
- Temp >38.3
- Cervical lymphadenopathy >2 cm
- Tonsillar exudate
- Culture positive for GAS
Paradise criteria for tonsillectomy
- treatment
- documentation
- Antibiotics administered in conventional dosage for strep
- Each episodes documented in a medical record or
- Observance by the physician of at least 2 episodes (1 year observation period)
