Acute bacterial sinusitis in children is diagnosed on the basis of the history, with the use of the criteria. Imaging studies (plain-film radiography, computed tomography [CT], magnetic resonance imaging [MRI], and ultrasonography) show signs of sinus inflammation but are not recommended in patients with uncomplicated infection, given the low specificity of these studies.
Three of four criteria must be met; establishes accurate diagnosis of bacterial vaginosis in 90 percent of affected women.
The Rochester criteria were developed to identify febrile infants aged 60 days or younger at low-risk of bacterial infection and do not include cerebrospinal fluid (CSF) testing.
Indications for diagnostic paracentesis.
- Cirrhotic patients with ascites at admission
- Cirrhotic patients with ascites and signs or symptoms of infection: fever, leukocytosis, abdominal pain
- Cirrhotic patients with ascites who present with a clinical condition that is deteriorating during hospitalization: renal function impairment, hepatic encephalopathy, gastrointestinal bleeding
- Patients with new-onset ascites