Table 5.

Clinical/otologic scale developed by Dagan et al. to assess the severity of AOM episodes.²⁴

Score	Temperaturea	Irritabilitya	Tugginga	Rednessb	Bulgingb
0	<38.0°C	Absent	Absent	Absent	Absent
1	38.0–38.5°C	Mild	Mild	Mild	Mild
2	38.6–39.0°C	Moderate	Moderate	Moderate	Moderate
3	>39.0°C	Severe	Severe	Severec	Severec

^aReported by parents on the day of the visit.

^bObserved at the otologic examination.

^cIncluding spontaneous drainage of pus.