Medicus, Vol. 14 No. 1_ARI, 2005.
Pregledni rad
Acute Rhinosinusitis
Livije Kalogjera
Sažetak
Acute rhinosinusitis is infl ammation of
nasal/sinus mucosa with symptoms of nasal obstruction,
hypersecretion or postnasal drip, facial pain/pressure or
headache and smell disturbance (at least two of these
symptoms), lasting longer than 10 days (or worsening 5
days following the fi rst nasal symptoms), but not more than
12 weeks. At least one episode of non–viral rhinosinusitis
per year is registered in 10% to 15% of people. Due to inadequate
sensitivity and the need for immediate treatment,
radiological and microbiological diagnostic workouts are
not indicated. Diagnosis and treatment of non-complicated
acute rhinosinusitis are in the domain of primary care physicians.
The cornerstone of acute rhinosinusitis therapy is
empiric antibiotic treatment, based on national and local
resistance patterns of Streptococcus pneumoniae and
Haemophilus infl uenzae (the most common aetiology), lasting
from 10 to 21 days. The inadequate response to fi rst
line antibiotic treatment within 72 hours justifi es the oral
administration of broad-spectrum antibiotics. In the case of
imminent complications, ENT referral is indicated. Topical
saline douches, short-term decongestant and topical steroid
represent the additional treatment. Although acute rhinosinusitis
complications are rare, they may be life threatening
and their diagnosis and treatment, both conservative and
surgical, are in the domain of ENT specialists.
Ključne riječi
acute rhinosinusitis; EP3OS guidelines; antimicrobial treatment; resistance; complications
Hrčak ID:
18817
URI
Datum izdavanja:
26.1.2005.
Posjeta: 6.092 *