Acute bacterial sinusitis in children: an updated review

摘要: Background In the pediatric age group, approximately 7.5% of upper respiratory tract infections (URIs) are complicated by acute bacterial sinusitis (ABS). Despite its prevalence, ABS is often overlooked in young children. The diagnosis and management present unique challenges primary care. This an updated narrative review on evaluation, diagnosis, ABS. Methods A PubMed search was performed using key term 'acute sinusitis'. strategy included clinical trials, meta-analyses, randomized controlled observational studies, reviews. restricted to English literature Results Haemophilus influenzae (non-typeable), Streptococcus pneumoniae, Moraxella catarrhalis major pathogens uncomplicated otherwise healthy ABS, polymicrobial common. mainly based stringent criteria, including persistent symptoms signs a URI beyond 10 days, without appreciable improvement; with high fever purulent nasal discharge at onset lasting for least 3 consecutive days; biphasic or worsening symptoms. Conclusion Data from high-quality studies limited. consensus that amoxicillin-clavulanate, standard dose 45 mg/kg/day orally, drug choice most cases children whom antibacterial resistance not suspected. Alternatively, oral amoxicillin 90 can be administered. For those severe who risk disease antibiotic resistance, high-dose amoxicillin-clavulanate (90 mg/kg/day) choice.