{"id":2392,"date":"2012-09-21T15:12:53","date_gmt":"2012-09-21T15:12:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/infsin\/"},"modified":"2025-05-13T20:28:19","modified_gmt":"2025-05-13T20:28:19","slug":"infsin","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/infsin\/","title":{"rendered":"Criterios Cl\u00ednicos para el Diagn\u00f3stico de Sinusitis Bacteriana Aguda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">La sinusitis<\/span>\u00a0<span class=\"hps\">bacteriana aguda en<\/span>\u00a0<span class=\"hps\">ni\u00f1os<\/span>\u00a0<span class=\"hps\">se diagnostica sobre la<\/span>\u00a0<span class=\"hps\">base de la historia<\/span>,\u00a0<span class=\"hps\">con el uso de<\/span>\u00a0<span class=\"hps\">los criterios cl\u00ednicos<\/span>.\u00a0<span class=\"hps\">Los estudios por im\u00e1genes<\/span>\u00a0<span class=\"hps atn\">(<\/span>radiograf\u00eda simple, tomograf\u00eda computarizada\u00a0<span class=\"hps\">[TC]<\/span>, resonancia magn\u00e9tica\u00a0<span class=\"hps atn\">[<\/span>MRI],\u00a0<span class=\"hps\">y ecograf\u00eda)<\/span>\u00a0<span class=\"hps\">muestran signos de <\/span><span class=\"hps\">inflamaci\u00f3n<\/span>\u00a0<span class=\"hps\">sinusal<\/span>\u00a0<span class=\"hps\">pero no se recomiendan<\/span>\u00a0<span class=\"hps\">en pacientes con infecci\u00f3n<\/span>\u00a0<span class=\"hps\">no complicada<\/span>, dada la\u00a0<span class=\"hps\">baja especificidad de<\/span>\u00a0<span class=\"hps\">estos estudios.<\/span><br \/>\n<!--more--><br \/>\n<strong>Criterios Cl\u00ednicos para el Diagn\u00f3stico de Sinusitis Bacteriana Aguda<\/strong><br \/>\n<span class=\"hps\">S\u00edntomas persistentes<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Congesti\u00f3n<\/span>\u00a0<span class=\"hps\">nasal<\/span>, rinorrea\u00a0<span class=\"hps\">o tos<\/span><\/li>\n<li><span class=\"hps\">Duraci\u00f3n\u00a0<\/span>&gt;\/=\u00a0<span class=\"hps\">10 d\u00edas<\/span>\u00a0<span class=\"hps\">sin mejor\u00eda<\/span><\/li>\n<\/ul>\n<p><span class=\"hps\">S\u00edntomas severos<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Temperatura &gt;\/=<\/span>\u00a0<span class=\"hps\">38,5\u202f\u00b0C<\/span>\u00a0<span class=\"hps\">durante 3-4 d\u00edas<\/span><\/li>\n<li><span class=\"hps\">Rinorrea<\/span>\u00a0<span class=\"hps\">purulenta<\/span>\u00a0<span class=\"hps\">durante 3-4 d\u00edas<\/span><\/li>\n<\/ul>\n<p><span class=\"hps\">Empeoramiento de los s\u00edntomas<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Recidiva de<\/span>\u00a0<span class=\"hps\">los s\u00edntomas<\/span>\u00a0<span class=\"hps\">despu\u00e9s de la resoluci\u00f3n<\/span>\u00a0<span class=\"hps\">inicial<\/span><\/li>\n<li><span class=\"hps\">Fiebre n<\/span><span class=\"hps\">ueva<\/span>\u00a0<span class=\"hps\">o recurrente<\/span>, aumento de la\u00a0<span class=\"hps\">rinorrea<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">aumento de la tos<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>DeMuri GP, Wald ER. Clinical practice. Acute bacterial sinusitis in children. N Engl J Med. 2012 Sep 20;367(12):1128-34.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22992076\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>DeMuri GP, Wald ER. Acute sinusitis: clinical manifestations and treatment approaches. Pediatr Ann. 2010 Jan;39(1):34-40.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20151623\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Sep 21, 2012<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La sinusitis\u00a0bacteriana aguda en\u00a0ni\u00f1os\u00a0se diagnostica sobre la\u00a0base de la historia,\u00a0con el uso de\u00a0los criterios cl\u00ednicos.\u00a0Los estudios por im\u00e1genes\u00a0(radiograf\u00eda simple, tomograf\u00eda computarizada\u00a0[TC], resonancia magn\u00e9tica\u00a0[MRI],\u00a0y ecograf\u00eda)\u00a0muestran signos de inflamaci\u00f3n\u00a0sinusal\u00a0pero no se recomiendan\u00a0en pacientes con infecci\u00f3n\u00a0no complicada, dada la\u00a0baja especificidad de\u00a0estos estudios.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[231,230,1077,1076,490,489,16,15,123,13,1078],"class_list":["post-2392","post","type-post","status-publish","format-standard","hentry","category-infetious-disease","tag-acute","tag-aguda","tag-bacterial","tag-bacteriana","tag-clinical","tag-clinico","tag-criteria","tag-criterios","tag-diagnosis","tag-diagnostico","tag-sinusitis"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2392"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2392\/revisions"}],"predecessor-version":[{"id":9314,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2392\/revisions\/9314"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}