{"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\/infsin\/","title":{"rendered":"Clinical Criteria for the Diagnosis of Acute Bacterial Sinusitis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>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.<br \/>\n<!--more--><br \/>\n<strong>Clinical Criteria for the Diagnosis of Acute Bacterial Sinusitis<\/strong><br \/>\nPersistent symptoms<\/p>\n<ul>\n<li>Nasal congestion, rhinorrhea, or cough<\/li>\n<li>&gt;\/=10 Days\u2019 duration without improvement<\/li>\n<\/ul>\n<p>Severe symptoms<\/p>\n<ul>\n<li>Temperature &gt;\/=38.5\u00b0C for 3\u20134 days<\/li>\n<li>Purulent rhinorrhea for 3\u20134 days<\/li>\n<\/ul>\n<p>Worsening symptoms<\/p>\n<ul>\n<li>Return of symptoms after initial resolution<\/li>\n<li>New or recurrent fever, increase in rhinorrhea, or increase in cough<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/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>Created: 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/2392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2392"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2392\/revisions"}],"predecessor-version":[{"id":9314,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2392\/revisions\/9314"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}