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)
...Paired images of the right middle meatus...
Figure 2. Endoscopic image of edema in the right middle meatus (needle tip points to the apex of the middle turbinate)
...gure 2. Endoscopic image of edema in the...
Figure 3. Paired Images
...3. Paired Image...
Table 1. Rhinosinusitis Definitions
...e 1. Rhinosinusitis DefinitionsHaving troub...
Diagnosis
...agnosi...
...ure 4. Symptom Prevalence by Day for...
Table 2. Comparison of Modalities for Objective...
Treatment
...reatment
...l management of CRS is not discussed in t...
...omatic relief of VRSClinicians may recommend ana...
...mmary of Key Action Statements (KAS)...
...erential diagnosisClinicians should disting...
1b. Radiographic imaging and ARSClinician...
...Symptomatic relief of VRSClinicians may rec...
...matic relief of ABRSClinicians may recommend...
.... Initial management of ABRSClinicians sh...
...f antibiotic for ABRSbIf a decision is made to...
...reatment failure for ABRSIf the patie...
...Diagnosis of CRS or recurrent ARSC...
...e confirmation of a diagnosis of C...
...ctorsClinicians should assess the patient with CR...
...for allergy and immune functionClinicians m...
.... CRS with polypsClinicians should conf...
...Topical intranasal therapy for CRSClini...
...ifungal therapy for CRSClinicians should NO...
...iting can be implemented using a WA...
...5. Adult with Possible Sinusitis Clinician j...
.... Factors That Would Prompt Clinicians to Cons...
...ient Instructions for Optimal Use of Topical Nasa...
...Patient Information Sheet on Diagnosis of Acute...
...le 7. Patient Information Sheet on Tre...