Acute rhinosinusitis in children

Abstract

Acute rhinosinusitis is defined as inflammation of the mucous lining of the nasal passage and sinus, and has a less than 12 weeks duration.Bacteria commonly isolated in pediatric patients are Streptococcus pneumoniae, non typeable Haemophilus influenzae, Moraxella catarrhalis, beta hemolytic streptococcus Group A,Streptococcus pyogenes and Staphylococcus aureus. In about one third of patients, it is polymicrobial infection. The initial phase of acute rhinosinusitis is viral (90% of cases), primarily rhinovirus, adenovirus, influenza virus and parainfluenza.La presentación clínica más común es una descarga nasal, tos o ambas, con una duración de más de 10 días.The diagnosis is usually based on the clinicCurrent guidelines for the treatment of acute bacterial rhinosinusitis usually recommend a course of antibiotic therapy from 10 to 14 days.