Sinusitis, acute bacterial

J01

• Description
• Diagnostic criteria
• General and supportive measures
• Medicine treatment

DESCRIPTION

Inflammation or infection of one or more of the sinuses occurring most often after a viral infection or with allergic rhinitis.

DIAGNOSTIC CRITERIA

Child with an acute upper respiratory tract infection presenting with:

• persistent illness (nasal discharge or daytime cough or both lasting more than 10 days without improvement),
• a worsening course (worsening or new onset of nasal discharge, daytime cough, or fever after initial improvement), OR
• severe onset (concurrent fever [temperature ≥39°C] and purulent nasal discharge for at least 3 consecutive days).

GENERAL AND SUPPORTIVE MEASURES

• Steam inhalation to liquefy and remove secretions blocking the nose.

MEDICINE TREATMENT

For infection:

• Amoxicillin, oral, 45 mg/kg/dose 12 hourly for 10 days.

Note: For poor response to amoxicillin therapy, or in patients who have received amoxicillin in the last 30 days:

• Amoxicillin-clavulanic acid, oral, 25mg/kg/dose of amoxicillin component, 8 hourly for 5-10 days.

LoEIII 2

For pain:

• Refer to Chapter 20: Pain Control, Management of Pain .

If allergic rhinitis is suspected, refer to Rhinitis, Allergic/Allergic Rhinosinositis .