Adult Sinusitis
Key Points
Key Points
- Sinusitis affects about 1 in 8 adults in the United States, resulting in over 30 million annual diagnoses.
- More than 1 in 5 antibiotics prescribed in adults are for sinusitis, making it the fifth most common diagnosis responsible for antibiotic therapy.
- About 20 million cases of presumed acute bacterial rhinosinusitis (ABRS) occur annually in the United States, rendering it one of the most common conditions encountered by clinicians.
- The importance of ABRS relates not only to prevalence, but to the potential for uncommon but serious complications that include meningitis, brain abscess, orbital cellulitis and orbital abscess.
Figure 1. Paired images of the right middle meatus in artist’s view (left) and endoscopic view (right)
...d images of the right middle meatus in artistâ€...
Figure 2. Endoscopic image of edema in the right middle meatus (needle tip points to the apex of the middle turbinate)
...doscopic image of edema in the righ...
Figure 3. Paired Images
Figure 3. Paired Images
Table 1. Rhinosinusitis Definitions
...hinosinusitis DefinitionsHaving trouble vie...
Diagnosis
Diagno...
...igure 4. Symptom Prevalence by Day for R...
.... Comparison of Modalities for Obj...
Treatment
...reatment
...: Surgical management of CRS is not dis...
...Symptomatic relief of VRSClinicians may recommen...
...y of Key Action Statements (KAS)...
...erential diagnosisClinicians should disting...
...diographic imaging and ARSClinicians should NO...
...c relief of VRSClinicians may recommen...
...mptomatic relief of ABRSClinicians ma...
...anagement of ABRSClinicians should either offer...
...ce of antibiotic for ABRSbIf a decision is made t...
...nt failure for ABRSIf the patient wor...
...Diagnosis of CRS or recurrent ARSClinicians shoul...
...e confirmation of a diagnosis of CRS...
...ing factorsClinicians should assess...
...r allergy and immune functionClinicians may obtain...
...polypsClinicians should confirm the presence...
...intranasal therapy for CRSClinicians shou...
12. Antifungal therapy for CRSClinician...
...Watchful waiting can be implemented using a WASP...
...Adult with Possible Sinusitis Clinician judg...
.... Factors That Would Prompt Clinicians...
.... Patient Instructions for Optimal Use of Top...
...Patient Information Sheet on Diagnosi...
...le 7. Patient Information Sheet on Treating...