PEDIATRICS Vol. 101 No. 1 Supplement January 1998, pp. 174-177
Acute Sinusitis
Principles of Judicious Use of Antimicrobial
Agents
Received Aug 8, 1997; accepted Sep 11, 1997.
,
From the * Childhood and Respiratory Diseases Branch, DBMD,
National Center for Infectious Diseases, Centers for Disease Control
and Prevention, Atlanta, Georgia; Kaiser Permanente, Panorama City,
California; § Northwest Family Medicine, Seattle, Washington; and
Connecticut Children's Medical Center, Hartford, Connecticut.
Establishing an accurate diagnosis of bacterial sinusitis is challenging but critical, because viral rhinosinusitis is at least 20 to 200 times more common than bacterial infection of the sinuses. Strict criteria for clinical diagnosis that require either prolonged and persistent symptoms or an acute severe presentation are supported with published evidence.
Key words: sinusitis, diagnosis, antimicrobial therapy, mucopurulent rhinitis, antimicrobial resistance, pediatrics..
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