Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

Publication Date: July 1, 2013
Last Updated: March 14, 2022

KEY ACTION STATEMENTS

Clinicians should make a presumptive diagnosis of acute bacterial sinusitis when a child with an acute URI presents with the following:
  • Persistent illness, ie, nasal discharge (of any quality) or daytime cough or both lasting more than 10 days without improvement; OR
  • Worsening course, ie, worsening or new onset of nasal discharge, daytime cough, or fever after initial improvement; OR
  • Severe onset, ie, concurrent fever (temperature ≥39°C/102.2°F) and purulent nasal discharge for at least 3 consecutive days.
(B, Moderate)
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Overview

Title

Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

Authoring Organization

American Academy of Pediatrics