{"title":"Management of acute rhinosinusitis in children.","authors":"Yanisa Wannasuphoprasit, Mahmood F Bhutta","doi":"10.1016/j.prrv.2025.04.004","DOIUrl":null,"url":null,"abstract":"<p><p>Acute rhinosinusitis (ARS) is a common condition in children, usually preceded by a viral upper respiratory tract infection (URTI). Diagnosing ARS can be challenging, relying primarily on clinical history and examination. Differentiating between viral URTI, post-viral ARS and acute bacterial rhinosinusitis (ABRS) is crucial for guiding appropriate antibiotic treatment. Antibiotics have been showed to be effective in improving symptom scores and cure rates in ABRS. Adjunct therapies, including corticosteroids, nasal saline irrigation and analgesics, may provide symptomatic relief. While viral ARS is self-limiting, bacterial ARS can lead to severe complications, including orbital and intracranial involvement, necessitating timely diagnosis and treatment. This review highlights current evidence on the diagnosis and management of ARS in children, emphasising best practices to optimise patient outcomes and prevent complications.</p>","PeriodicalId":19658,"journal":{"name":"Paediatric Respiratory Reviews","volume":" ","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Paediatric Respiratory Reviews","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.prrv.2025.04.004","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Acute rhinosinusitis (ARS) is a common condition in children, usually preceded by a viral upper respiratory tract infection (URTI). Diagnosing ARS can be challenging, relying primarily on clinical history and examination. Differentiating between viral URTI, post-viral ARS and acute bacterial rhinosinusitis (ABRS) is crucial for guiding appropriate antibiotic treatment. Antibiotics have been showed to be effective in improving symptom scores and cure rates in ABRS. Adjunct therapies, including corticosteroids, nasal saline irrigation and analgesics, may provide symptomatic relief. While viral ARS is self-limiting, bacterial ARS can lead to severe complications, including orbital and intracranial involvement, necessitating timely diagnosis and treatment. This review highlights current evidence on the diagnosis and management of ARS in children, emphasising best practices to optimise patient outcomes and prevent complications.
期刊介绍：
Paediatric Respiratory Reviews offers authors the opportunity to submit their own editorials, educational reviews and short communications on topics relevant to paediatric respiratory medicine. These peer reviewed contributions will complement the commissioned reviews which will continue to form an integral part of the journal.
Subjects covered include:
• Epidemiology
• Immunology and cell biology
• Physiology
• Occupational disorders
• The role of allergens and pollutants
A particular emphasis is given to the recommendation of "best practice" for primary care physicians and paediatricians.
Paediatric Respiratory Reviews is aimed at general paediatricians but it should also be read by specialist paediatric physicians and nurses, respiratory physicians and general practitioners.
It is a journal for those who are busy and do not have time to read systematically through literature, but who need to stay up to date in the field of paediatric respiratory and sleep medicine.
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