Acute bacterial rhinosinusitis (ABRS) complicates between 5 to 10% of viral URIs in children. Common pathogens involved in ABRS are Streptococcus pneumonia, Haemophilus influenza, and Moraxella catarrhalis. The current article describes the treatment recommendations for the management of acute pediatric rhinosinusitis.
The infectious diseases society of America (IDSA) guidelines suggest that ABRS can be diagnosed with each of the following clinical scenarios: URI symptoms lasting more than 10 days without any improvement Severe onset of signs and symptoms lasting more than 3-4 consecutive days,like high grade fever (>39°C),facial pain or purulent nasal discharge; Worsening of signs and symptoms following a typical viral URI that lasted 5-6 days and were initially improving, like new onset of fever, headache, or increase in nasal discharge. Management High-dose amoxicillin (90 mg per kg…
