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Updated: Jul 12, 2026

Characterization of Inflammatory Responses During Intranasal Colonization with Streptococcus pneumoniae
Published on: January 17, 2014
Inflammation of paranasal sinuses: the clinical pattern is age-dependent
G L Marseglia1, A M Castellazzi, A Licari
1Dipartimento di Scienze Pediatriche, Università di Pavia-Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. gl.marseglia@smatteo.pv.it
Insights
Acute rhinosinusitis (ARS) significantly impacts children, with age influencing its clinical presentation. This study confirms age is a key factor in understanding pediatric ARS patterns.
Area of Science:
- Pediatric Otolaryngology
- Infectious Diseases
- Clinical Pediatrics
Background:
- Acute rhinosinusitis (ARS) is a prevalent condition causing significant morbidity.
- ARS often leads to substantial antibiotic prescriptions.
- It typically presents as respiratory symptoms lasting over 10 days without improvement.
Purpose of the Study:
- To investigate the influence of age on the clinical presentation of pediatric ARS.
- To provide evidence-based insights into age-related ARS patterns in children.
Main Methods:
- Evaluation of 256 pediatric patients diagnosed with ARS.
- Confirmation of ARS through nasal endoscopy.
- Analysis of clinical patterns in relation to patient age (2-15 years).
Main Results:
- Age was found to have a significant influence on the clinical patterns observed in pediatric ARS.
- Specific age-related variations in ARS presentation were identified.
Conclusions:
- Age is a critical determinant in the clinical manifestation of acute rhinosinusitis in children.
- Understanding these age-related differences is essential for effective ARS management in pediatric populations.
Abstract:
Acute rhinosinusitis (ARS) represents a common disorder, associated with consistent morbidity as well as with a large prescription of antibiotics. ARS has a significant impact on clinical practice; it usually presents with respiratory complaints persisting longer than 10 days and showing no signs of improvement. Throughout the evaluation of 256 pediatric patients (152 males and 135 females, aged between 2 and 15 yr), with ARS confirmed by nasal endoscopy, we have been able to provide evidence that age has a significant influence on clinical patterns in children with ARS.
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