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)
...oscopic image of edema in the right...
Figure 3. Paired Images
...ure 3. Paired Images...
Table 1. Rhinosinusitis Definitions
.... Rhinosinusitis DefinitionsHaving trouble view...
Diagnosis
...Diag...
Figure 4. Symptom Prevalence by Day for Rhi...
...2. Comparison of Modalities for Objective Conf...
Treatment
...Treatment
...ote: Surgical management of CRS is not dis...
2. Symptomatic relief of VRSClinicians may recom...
...Table...
...ential diagnosisClinicians should distinguish pre...
...adiographic imaging and ARSClinicians...
...c relief of VRSClinicians may recommend analg...
...ic relief of ABRSClinicians may recommend ana...
...ial management of ABRSClinicians should ei...
5. Choice of antibiotic for ABRSbIf a decision i...
...tment failure for ABRSIf the patient worsens or...
...sis of CRS or recurrent ARSClinicians should dist...
...ective confirmation of a diagnosis of C...
...difying factorsClinicians should assess the patie...
...g for allergy and immune functionCl...
...h polypsClinicians should confirm the presence o...
...ranasal therapy for CRSClinicians shoul...
...ifungal therapy for CRSClinicians...
...hful waiting can be implemented using a...
...re 5. Adult with Possible Sinusitis Cli...
...4. Factors That Would Prompt Clinicians to Co...
...nt Instructions for Optimal Use of Topical Nasal S...
...6. Patient Information Sheet on Diagn...
...ent Information Sheet on Treating Acute...