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)
...red 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)
...2. Endoscopic image of edema in the right...
Figure 3. Paired Images
...e 3. Paired Images...
Table 1. Rhinosinusitis Definitions
...able 1. Rhinosinusitis DefinitionsHaving trouble...
Diagnosis
Diagnos...
...ymptom Prevalence by Day for Rhinovirus Illness...
...ble 2. Comparison of Modalities for Obj...
Treatment
Treatment
...cal management of CRS is not discus...
...omatic relief of VRSClinicians may recommend an...
...Summary of Key Action Statements (KAS)...
1a. Differential diagnosisClinicians sho...
.... Radiographic imaging and ARSClinicians shou...
...relief of VRSClinicians may recommend anal...
...relief of ABRSClinicians may reco...
...ial management of ABRSClinicians should either off...
...hoice of antibiotic for ABRSbIf a decision is mad...
...reatment failure for ABRSIf the patient worsens...
...CRS or recurrent ARSClinicians sh...
.... Objective confirmation of a diagnosis...
...ing factorsClinicians should assess the patient wi...
.... Testing for allergy and immune functionCli...
...with polypsClinicians should confirm the presence...
...l intranasal therapy for CRSClinicians should...
...ifungal therapy for CRSClinicians shou...
...chful waiting can be implemented using...
...re 5. Adult with Possible Sinusitis Clinicia...
...ors That Would Prompt Clinicians to Consider...
...Patient Instructions for Optimal Use of T...
...ient Information Sheet on Diagnosis of Acute...
...nt Information Sheet on Treating Acute...