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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples
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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples

Published on: January 21, 2018

Rhinosinusitis in children

Russell W Steele1

  • 1Department of Pediatrics, Ochsner Children's Health Center, 1315 Jefferson Highway, New Orleans, LA 70121, USA. RWSteele@aol.com

Current Allergy and Asthma Reports
|October 10, 2006
PubMed

Insights

Updated guidelines are needed for pediatric acute bacterial rhinosinusitis due to changing antibiotic resistance. This review offers practical recommendations for managing chronic pediatric sinusitis, addressing various contributing factors.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Otolaryngology

Background:

  • Existing 2001 guidelines for pediatric acute bacterial rhinosinusitis require updating.
  • Changing antibiotic susceptibility patterns necessitate reevaluation of treatment recommendations.
  • Previous guidelines inadequately addressed the pathogenesis and management of chronic pediatric sinusitis.

Purpose of the Study:

  • To reevaluate and update clinical practice guidelines for pediatric rhinosinusitis.
  • To provide specific recommendations and practical treatment options for pediatric chronic sinusitis.
  • To address factors contributing to chronic rhinosinusitis in children.

Main Methods:

  • Review of recent scientific literature.
  • Synthesis of clinical experience from pediatric sinusitis experts.
  • Identification of factors associated with chronic rhinosinusitis.

Main Results:

  • Insufficient data exists for evidence-based guidelines for chronic pediatric sinusitis.
  • Key factors associated with chronic rhinosinusitis include environmental pollution, viral infections, rhinitis, ciliary dyskinesia, cystic fibrosis, immunodeficiency, GERD, and anatomical abnormalities.
  • Practical treatment options and expert recommendations are presented.

Conclusions:

  • Current antibiotic susceptibility patterns warrant updated guidelines for acute bacterial rhinosinusitis.
  • Individualized management addressing contributing factors is crucial for pediatric chronic sinusitis.
  • Further research is needed to develop evidence-based guidelines for chronic pediatric sinusitis.

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