Sinusitis Update - 19/11/18
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Résumé |
Rhinosinusitis affects many pediatric patients as well as 1 in 6 adults in any given year, resulting in ambulatory care, pediatric, and emergency department visits. Uncomplicated rhinosinusitis requires no imaging or testing and does not require antibiotic treatment. Using strict clinical diagnostic criteria may minimize unnecessary antibiotics. When indicated, amoxicillin with or without clavulanate for 5 to 10 days remains the first-line antibiotic, despite increasing incidence of staphylococcal sinusitis in the post-pneumococcal conjugate vaccine era. Emergency providers also need to recognize atypical cases in which uncommon but serious complications of sinusitis cause both morbidity and mortality.
Le texte complet de cet article est disponible en PDF.Keywords : Sinusitis, Rhinosinusitis, Diagnostic criteria, Antibiotics, Complications, Sinus imaging
Plan
Author Disclosures: Neither author has any disclosures, or any conflicts of interest. |
Vol 37 - N° 1
P. 41-54 - février 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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