Pediatr. praxi. 2012;13(6):372-376

Acute rhinosinusitis in children

MUDr.Iva Bártová
Klinika otorinolaryngologie a chirurgie hlavy a krku, Pardubická krajská nemocnice, a. s.

Acute rhinosinusitis is one of the most common cases in pediatric praxis. Diagnostics is based mainly on patient´s history. Treatment follows

according to seriousness and course of symptoms. Plain X-ray and CT are in diagnostics of noncomplicated cases not recommended.

The most common agent in acute bacterial rhinosinusitis is Streptococcus pneumoniae. The treatment follows according to seriousness

and course of symptoms. Antibiotic of the first choice is in the Czech Republic amoxicilin in adequate dosage. If the symptoms are one

sided or if there are signs of complications, it is necessary to refer the child to ENT specialist.

Keywords: acute rhinosinusitis, diagnostics, Streptococcus pneumoniae, amoxicilin, topic steroids, antibiotics

Published: December 1, 2012  Show citation

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Bártová I. Acute rhinosinusitis in children. Pediatr. praxi. 2012;13(6):372-376.
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    References

    1. Fokkens WJ, Lund V, Mullol J, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinology 2012; 23(Suppl): 1-299.
    2. McAlister WH, Lusk R, Munz HR. Comparison of plain radiographs and coronal CT scane in infants and children with recurrent sinusitis. Am J Roentgenol 1989; 153: 1259-1264. Go to original source... Go to PubMed...
    3. Pfaar O, Mullol J, Anders C, Hormann K, Klimek L. Cyclamen europaeum nasal spray, a novel phytotherapeutic product for the management of acute rhinosinusitis: a randomized double-blind, placebo-controlled trial. Rhinology 2012; 50(1): 37-44 in Fokkens WJ, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinology 2012(Suppl. 23): 1-299. Go to original source... Go to PubMed...
    4. http://www.szu.cz/rp/rezistence.php. Cit. 2012-10-04.
    5. Meltzer EO, Bachert C, Staudinger H. Treating acute rhinosinusitis: comparing efficacy and safety of mometasone furoate nasal spray, amoxicilin and placebo. The Journal of allergy and clinical immunology 2005; 116(6): 1289-1295. Go to original source... Go to PubMed...

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