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This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.
Chronic rhinosinusitis is diagnosed based on the presence of characteristic symptoms and objective evidence on physical examination or radiography. First-line treatment is nasal saline irrigation combined with intranasal corticosteroid sprays.
What is the optimal time to wait before prescribing antibiotics for acute rhinosinusitis, and which over-the-counter medications provide symptom relief in the meantime? Review guidelines and recommendations for one of the most common conditions that physicians treat in ambulatory care.
Sep 1, 2014 Issue
Intranasal Corticosteroids for Acute Bacterial Sinusitis [Cochrane for Clinicians]
Compared with patients not treated with intranasal corticosteroids, those who receive them have greater improvement or resolution of symptoms at two to three weeks, regardless of whether antibiotics are used. In a single head-to-head study, patients taking intranasal corticosteroids alone fared slig...
Approximately 6% to 7% of children presenting with respiratory symptoms have acute sinusitis. This practice guideline from the American Academy of Pediatrics (AAP), which updates the 2001 guideline, discusses diagnosis and management of acute bacterial sinusitis in children one to 18 years of age.
Mar 15, 2013 Issue
IDSA Releases Guidelines for Management of Acute Bacterial Rhinosinusitis [Practice Guidelines]
The Infectious Diseases Society of America (IDSA) has released a guideline for the management of acute bacterial rhinosinusitis in children and adults in the community or emergency department settings. Each recommendation includes a quality of evidence grade (i.e., strong or weak) and a strength-of-...
Rhinosinusitis is one of the most common conditions for which patients seek medical care. Subtypes of rhinosinusitis include acute, subacute, recurrent acute, and chronic. Acute rhinosinusitis is further specified as bacterial or viral. Most cases of acute rhinosinusitis are caused by viral infectio...
Although there is some evidence that antibiotics are effective in the treatment of acute uncomplicated sinusitis, this benefit is modest. Most patients with acute sinusitis improve within two weeks without antibiotics. The potential risk of adverse effects from antibiotics may outweigh the benefits of therapy.
What are the effects of treatments in persons with clinically diagnosed or radiologically or bacteriologically confirmed acute sinusitis?
Dec 1, 2007 Issue
Guidelines for the Diagnosis and Management of Rhinosinusitis in Adults [Practice Guidelines]
New guidelines from the American Academy of Otolaryngology—Head and Neck Surgery are aimed diagnosing and treating patients with uncomplicated rhinosinusitis.