* CHANGES * Previous criteria for acute bacterial sinusitis in children were acute URI with either nasal discharge and/or daytime cough for longer than 10 days or severe onset of fever (≥39°C/102.2°F), purulent nasal discharge, and other respiratory symptoms for 3 or more consecutive days. A third criterion added to the 2013 guideline is URI with worsening symptoms such as nasal discharge, cough, and fever after initial improvement. Another change in the updated guideline is that physicians may now observe children with persistent infection lasting longer than 10 days for an additional 3 days before prescribing antibiotics, whereas the 2001 guideline recommended antibiotics for all children diagnosed with acute bacterial sinusitis. However, antibiotics should still be given to children with severe onset or worsening symptoms. medscape/viewarticle/806791?nlid=31843_1049&src=wnl_edit_dail
Posted on: Tue, 25 Jun 2013 14:41:34 +0000
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