rhinosinusitis%20-%20acute,%20bacterial%20(pediatric)
RHINOSINUSITIS - ACUTE, BACTERIAL (PEDIATRIC)
Rhinosinusitis is the mucosal inflammation of the nose and paranasal sinuses caused by bacteria lasting >10 days for up to 4 weeks, symptoms resolve completely and may either be persistent or severe.
It is often preceded by a viral upper respiratory tract infection.
Signs & symptoms are nonspecific and it is typically difficult to differentiate from viral upper respiratory tract infection.
Streptococcus pneumoniae is the most common cause followed by nontypeable Haemophilus influenzae.

Otolaryngologist Referral

  • Otolaryngology consultation is recommended in moderately to severely ill patients suspected of acute frontal or sphenoid sinusitis because of possible intracranial spread & in patients who do not improve after adequate medical therapy
    • Referral is also needed for possible maxillary sinus aspiration for culture & sensitivity so that therapy may be adjusted correctly
  • Referral to an otolaryngologist &/or ophthalmologist is also indicated when signs of impending suppurative complications are present
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