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Acute Bacterial Rhinosinusitis: Pediatric and Adult

  • Abdülkadir Imre
  • Sedat Ozturkcan
  • Livije Kalogjera
Chapter

Abstract

The fifth most common indication for antibiotic treatment is rhinosinusitis. It brings a heavy financial cost. Rhinosinusitis is inflammation affecting the mucosae +/− the underlying osteal tissue of the nasal cavity and paranasal sinuses, which results in symptoms. At present, rhinosinusitis is considered a more apt term to describe the condition than sinusitis, since sinusitis without accompanying inflammation in the nose is seldom seen, and the mucosa adjacent to the sinusal ostia is virtually invariably inflamed in the condition. Acute bacterial rhinosinusitis (ABRS) typically occurs in association with an upper respiratory tract infection (URTI) of viral aetiology, but atopy, malignancy, infections associated with the teeth, environmental conditions, and variable anatomy all may increase the risk of infection being bacterial in origin. There may be differences on how adults and children present with ABRS. In fact, accurately diagnosing children with ABRS is rendered more challenging by the fact that other diseases present an overlapping symptomatology, the history relies extensively on the views of the parents and physical examination of children is complex. However, progress has been made in reducing uncalled-for radiological investigations and overprescription of antibacterial agents, thanks to the development of evidence-based guidelines and RCTs looking at diagnostic practice and clinical management.

Keywords

Acute bacterial rhinosinusitis Pediatric Adult Nasal cavity and paranasal sinuses 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Abdülkadir Imre
    • 1
  • Sedat Ozturkcan
    • 2
  • Livije Kalogjera
    • 3
  1. 1.Department of OtorhinolaryngologyIzmir Katip Celebi University, Ataturk Training and Research HospitalİzmirTurkey
  2. 2.Izmir Katip Çelebi University, Ataturk Training and Research HospitalİzmirTurkey
  3. 3.Department of Otorhinolaryngology and Head and Neck SurgeryUniversity Hospital Sestre MilosrdniceZagrebCroatia

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