Transcription of CLINICAL PRACTICE GUIDELINE Clinical Practice …
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CLINICAL PRACTICE GUIDELINE Clinical Practice …
CLINICAL PRACTICE GUIDELINEC linical PRACTICE GUIDELINE for the Diagnosis andManagement of Acute Bacterial Sinusitis in ChildrenAged 1 to 18 YearsabstractOBJECTIVE:To update the American Academy of Pediatrics clinicalpractice GUIDELINE regarding the diagnosis and management of acutebacterial sinusitis in children and :Analysis of the medical literature published since the lastversion of the GUIDELINE (2001).RESULTS:The diagnosis of acute bacterial sinusitis is made when a childwith an acute upper respiratory tract infection (URI) presents with (1)persistent illness (nasal discharge [of any quality] or daytime cough orboth lasting more than 10 days without improvement), (2) a worseningcourse (worsening or new onset of nasal discharge, daytime cough, orfever after initial improvement), or (3) severe onset (concurrent fever[temperature 39 F] and purulent nasal discharge for at least3 consecutive days). Clinicians should not obtain imaging studies of anykind to distinguish acute bacterial sinusitis from viral URI, because theydo not contribute to the diagnosis; however, a contrast-enhancedcomputed tomography scan of the paranasal sinuses should beobtained whenever a child is suspected of having orbital or centralnervous system complications.
CLINICAL PRACTICE GUIDELINE Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years
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