Tổng quan
Acute bacterial rhinosinusitis is defined as acute rhinosinusitis caused by bacteria and is diagnosed based on clinical presentation or presence of bacteria in the paranasal sinus cavity.
It commonly occurs as a complication of a viral infection (upper respiratory tract infection [URTI]), rhinitis, or other conditions that impair local or systemic immune function.
Signs and symptoms are non-specific and typically difficult to differentiate from viral URTI.
The gold standard for acute bacterial rhinosinusitis diagnosis is ≥104 colony-forming units (CFU)/mL of bacteria from paranasal sinus cavity.
Empiric therapy should be based on cost, safety, likely pathogen, local resistance patterns and recent antibiotic use. The initial antibiotic prescribed should be the most narrow-spectrum agent that is active against the likely pathogens: S pneumoniae, H influenzae, or M catarrhalis.
For further information regarding the management of Acute Bacterial Rhinosinusitis, please refer to Disease Algorithm for the Treatment Guideline.
It commonly occurs as a complication of a viral infection (upper respiratory tract infection [URTI]), rhinitis, or other conditions that impair local or systemic immune function.
Signs and symptoms are non-specific and typically difficult to differentiate from viral URTI.
The gold standard for acute bacterial rhinosinusitis diagnosis is ≥104 colony-forming units (CFU)/mL of bacteria from paranasal sinus cavity.
Empiric therapy should be based on cost, safety, likely pathogen, local resistance patterns and recent antibiotic use. The initial antibiotic prescribed should be the most narrow-spectrum agent that is active against the likely pathogens: S pneumoniae, H influenzae, or M catarrhalis.
For further information regarding the management of Acute Bacterial Rhinosinusitis, please refer to Disease Algorithm for the Treatment Guideline.
