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[Acute rhinosinusitis and sinusitis].

P Géhanno1

  • 1Service d'ORL et chirurgie cervico-faciale Hôpital Bichat, Paris.

La Revue Du Praticien
|November 9, 2000
PubMed
Summary
This summary is machine-generated.

Common colds in adults often involve sinus inflammation, termed rhinosinusitis. Bacterial superinfections require specific diagnostic factors for antibiotic treatment, especially in unilateral cases.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases

Background:

  • Adult common colds frequently involve sinus mucosa, justifying the term rhinosinusitis.
  • Bacterial superinfections are often presumptive due to lack of routine lab sampling.

Purpose of the Study:

  • To outline diagnostic criteria for bacterial superinfection in adult rhinosinusitis.
  • To guide antibiotic prescribing practices based on clinical presentation and diagnostic factors.

Main Methods:

  • Review of clinical presentation, diagnostic imaging (CT, X-ray), and laboratory findings.
  • Analysis of presumptive factors for bacterial superinfection in rhinosinusitis.

Main Results:

  • Unilateral symptoms and purulent rhinorrhea suggest bacterial superinfection.

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  • Bilateral symptoms warrant antibiotics only after failed symptomatic treatment, supported by specific imaging or examination findings.
  • Frontal or sphenoid sinus infections necessitate prompt antibiotic therapy.
  • Conclusions:

    • Accurate diagnosis of bacterial superinfection in rhinosinusitis relies on clinical and imaging factors.
    • Antibiotic selection should target beta-lactamase-producing Haemophilus and penicillin-resistant pneumococci.