Type your tag names separated by a space and hit enter

Acute bacterial rhinosinusitis in adults: part I. Evaluation.

Abstract

Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory practice. Although often caused by viruses, it sometimes is caused by bacteria, a condition that is called acute bacterial rhinosinusitis. The signs and symptoms of acute bacterial rhinosinusitis and prolonged viral upper respiratory infection are similar, which makes accurate clinical diagnosis difficult. Because two thirds of patients with acute bacterial rhinosinusitis improve without antibiotic treatment and most patients with viral upper respiratory infection improve within seven d antibiotic therapy should be reserved for use in patients who have had symptoms for more than seven days and meet clinical criteria. Four signs and symptoms are the most helpful in predicting acute bacterial rhinosinusitis: purulent nasal discharge, maxillary tooth or facial pain (especially unilateral), unilateral maxillary sinus tenderness, and worsening symptoms after initial improvement. Sinus radiography and ultrasonography are not recommended in the diagnosis of uncomplicated acute bacterial rhinosinusitis, although computed tomography has a role in the care of patients with recurrent or chronic symptoms.

Links

  • FREE Publisher Full Text
  • Authors+Show Affiliations

    ,

    University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

    Source

    American family physician 70:9 2004 Nov 01 pg 1685-92

    MeSH

    Acute Disease
    Adult
    Bacterial Infections
    Diagnosis, Differential
    Humans
    Respiratory Tract Infections
    Rhinitis
    Sinusitis

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    15554486

    Citation

    Scheid, Dewey C., and Robert M. Hamm. "Acute Bacterial Rhinosinusitis in Adults: Part I. Evaluation." American Family Physician, vol. 70, no. 9, 2004, pp. 1685-92.
    Scheid DC, Hamm RM. Acute bacterial rhinosinusitis in adults: part I. Evaluation. Am Fam Physician. 2004;70(9):1685-92.
    Scheid, D. C., & Hamm, R. M. (2004). Acute bacterial rhinosinusitis in adults: part I. Evaluation. American Family Physician, 70(9), pp. 1685-92.
    Scheid DC, Hamm RM. Acute Bacterial Rhinosinusitis in Adults: Part I. Evaluation. Am Fam Physician. 2004 Nov 1;70(9):1685-92. PubMed PMID: 15554486.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Acute bacterial rhinosinusitis in adults: part I. Evaluation. AU - Scheid,Dewey C, AU - Hamm,Robert M, PY - 2004/11/24/pubmed PY - 2004/12/17/medline PY - 2004/11/24/entrez SP - 1685 EP - 92 JF - American family physician JO - Am Fam Physician VL - 70 IS - 9 N2 - Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory practice. Although often caused by viruses, it sometimes is caused by bacteria, a condition that is called acute bacterial rhinosinusitis. The signs and symptoms of acute bacterial rhinosinusitis and prolonged viral upper respiratory infection are similar, which makes accurate clinical diagnosis difficult. Because two thirds of patients with acute bacterial rhinosinusitis improve without antibiotic treatment and most patients with viral upper respiratory infection improve within seven d antibiotic therapy should be reserved for use in patients who have had symptoms for more than seven days and meet clinical criteria. Four signs and symptoms are the most helpful in predicting acute bacterial rhinosinusitis: purulent nasal discharge, maxillary tooth or facial pain (especially unilateral), unilateral maxillary sinus tenderness, and worsening symptoms after initial improvement. Sinus radiography and ultrasonography are not recommended in the diagnosis of uncomplicated acute bacterial rhinosinusitis, although computed tomography has a role in the care of patients with recurrent or chronic symptoms. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/15554486/full_citation L2 - http://www.aafp.org/link_out?pmid=15554486 DB - PRIME DP - Unbound Medicine ER -