2018 Volume 6 Issue 1 Pages 8-14
1. Pediatric acute rhinosinusitis shares several common features with adult acute rhinosinusitis that occurs in pregnant women as quinolone antibiotics generally cannot be used in either condition.
2. In patients with severe acute rhinosinusitis accompanied by fever, initiation of intravenous ceftriaxone infusion at the time of initial examination is one of the recommended treatment options.
3. If Haemophilus influenzae is the pathogenic bacteria, azithromycin (AZM) is one of the antibiotic options.
4. In patients with persistent rhinosinusitis, administration of the usual dosage of clarithromycin for 1–2 weeks is effective. However, if acute exacerbation is diagnosed via endoscopy, switching to high-dose penicillin or cephem antibiotics or AZM is crucial.
5. If mucopurulent nasal discharge is noted in a case of allergic rhinitis, an associated complication of paranasal sinusitis is suspected. Although careful monitoring of the patient’s course is important, antibiotics are often unnecessary.
6. For patients aged 0–2 years with acute rhinosinusitis, antibiotics are unnecessary if there is no complicating otitis media and if the general condition is good.
7. If the causative organism is anaerobic bacteria, the condition may become chronic.
