Aidan at 01:00, 16 August 2020

2020-08-16T01:00:44Z

← Older revision		Revision as of 01:00, 16 August 2020
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	== Background ==		==Background==

	* See also [[nosocomial sinusitis]] and [[invasive fungal sinusitis]]		*See also [[nosocomial sinusitis]] and [[invasive fungal sinusitis]]

	=== Microbiology ===		===Microbiology===

	* [[Streptococcus pneumoniae]] (most common; 41% in adults and children)		*[[Streptococcus pneumoniae]] (most common; 41% in adults and children)
	* Non-typable [[Haemophilus influenzae]] (35% in adults, 27% in children)		*Non-typable [[Haemophilus influenzae]] (35% in adults, 27% in children)
	* [[Moraxella catarrhalis]] (4% in adults, 22% in children)		*[[Moraxella catarrhalis]] (4% in adults, 22% in children)
	* [[Streptococci]] (7% in adults and children)		*[[Streptococci]] (7% in adults and children)
	* [[Anaerobes]] (7% in adults)		*[[Anaerobes]] (7% in adults)
	* [[Staphylococcus aureus]] (3% in adults)		*[[Staphylococcus aureus]] (3% in adults)

	=== Risk Factors ===		===Risk Factors===

	* Systemic factors		*Systemic factors
	** Viral upper respiratory infection		**Viral upper respiratory infection
	** [[Allergic rhinitis]] and [[asthma]]		**[[Allergic rhinitis]] and [[asthma]]
	** [[Cystic fibrosis]]		**[[Cystic fibrosis]]
	** Immune disorders including [[agammaglobulinemia]], [[HIV]], and [[chronic granulomatous disease]]		**Immune disorders including [[agammaglobulinemia]], [[HIV]], and [[chronic granulomatous disease]]
	** Ciliary dyskinesia		**Ciliary dyskinesia
	** Tobacco smoke		**Tobacco smoke
	* Mechanical factors: choanal atresia, cleft palate, deviated septum, nasal polyps, foreign body, tumour, ethmoid bullae		*Mechanical factors: choanal atresia, cleft palate, deviated septum, nasal polyps, foreign body, tumour, ethmoid bullae
	* Local factors: facial trauma, swimming and diving, rhinitis medicamentosa, nasal intubation		*Local factors: facial trauma, swimming and diving, rhinitis medicamentosa, nasal intubation

			== Clinical Manifestations ==

			* May have periorbital edema with involvement of the ethmoid sinuses that must be differentiated from periorbital cellulitis

			=== Complications ===

			* Complications occur more commonly in sinusitis including the frontal and ethmoidsinuses
			* Intracranial: [[subdural empyema]], [[epidural abscess]], intraparenchymal [[brain abscess]], [[Bacterial meningitis\|meningitis]], and [[venous sinus thrombosis]]
			** Consider these diagnoses with fever, altered mentation, seizures, or focal neurologic deficits
			* Extracranial: [[Periorbital cellulitis\|orbital cellulitis]], [[orbital abscess]], and [[subperiosteal abscess]], including [[Pott puffy tumour]]

			== Management ==

			* For adults, treat with [[Is treated by::amoxicillin-clavulanic acid]] for 10 days
			* For children
			** Treat if severe, and can either treat or watch and wait if mild to moderate
			** Use [[Is treated by::amoxicillin]] with or without clavulanic acid
			* Alternatives include [[cefpodoxime]], [[cefixime]], [[cefdinir]], [[azithromycin]], [[clarithromycin]], [[levofloxacin]], and [[moxifloxacin]]
			* Large-volume nasal irrigation may be helpful, especially with chronic symptoms

	<br />
	[[Category:Infectious diseases]]		[[Category:Infectious diseases]]
	[[Category:Head and neck infections]]		[[Category:Head and neck infections]]

Aidan: Created page with "== Background == * See also nosocomial sinusitis and invasive fungal sinusitis === Microbiology === * Streptococcus pneumoniae (most common; 41% in adults and c..."

2020-08-16T00:44:37Z

Created page with "== Background == * See also nosocomial sinusitis and invasive fungal sinusitis === Microbiology === * Streptococcus pneumoniae (most common; 41% in adults and c..."

New page

== Background ==

* See also [[nosocomial sinusitis]] and [[invasive fungal sinusitis]]

=== Microbiology ===

* [[Streptococcus pneumoniae]] (most common; 41% in adults and children)
* Non-typable [[Haemophilus influenzae]] (35% in adults, 27% in children)
* [[Moraxella catarrhalis]] (4% in adults, 22% in children)
* [[Streptococci]] (7% in adults and children)
* [[Anaerobes]] (7% in adults)
* [[Staphylococcus aureus]] (3% in adults)

=== Risk Factors ===

* Systemic factors
** Viral upper respiratory infection
** [[Allergic rhinitis]] and [[asthma]]
** [[Cystic fibrosis]]
** Immune disorders including [[agammaglobulinemia]], [[HIV]], and [[chronic granulomatous disease]]
** Ciliary dyskinesia
** Tobacco smoke
* Mechanical factors: choanal atresia, cleft palate, deviated septum, nasal polyps, foreign body, tumour, ethmoid bullae
* Local factors: facial trauma, swimming and diving, rhinitis medicamentosa, nasal intubation

<br />
[[Category:Infectious diseases]]
[[Category:Head and neck infections]]

Acute bacterial sinusitis - Revision history

Aidan at 01:00, 16 August 2020

Aidan: Created page with "== Background == * See also nosocomial sinusitis and invasive fungal sinusitis === Microbiology === * Streptococcus pneumoniae (most common; 41% in adults and c..."