{"title":"[Current diagnostics and therapy in acute rhinosinusitis].","authors":"Francesca Parisi, Lukas Horvath","doi":"10.23785/PRAXIS.2025.05.004","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Acute rhinosinusitis (ARS) is one of the most common infectious diseases found the in the outpatient clinics. In order to avoid overuse of diagnostic tools and over-treatment, knowledge of its etiology is key. The objective of this paper is to present the current classification of ARS, its management recommendation and indications for antibiotic treatment as well as to identify potential complications. A review of the current literature for ARS was performed, especially of the two most significant position papers (EPOS 2020, ICARS-RS-2021, AAO-HNSF, AWMF-S2k-Leitlinie). The past years, a differentiated view on ARS and its classification has evolved. ARS is mainly an inflammatory disease triggered by viral infection while a minority develops into a bacterial infection. The diagnosis is mainly clinical and most cases are self-resolving with symptomatic treatment.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 5","pages":"188-192"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Praxis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23785/PRAXIS.2025.05.004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Acute rhinosinusitis (ARS) is one of the most common infectious diseases found the in the outpatient clinics. In order to avoid overuse of diagnostic tools and over-treatment, knowledge of its etiology is key. The objective of this paper is to present the current classification of ARS, its management recommendation and indications for antibiotic treatment as well as to identify potential complications. A review of the current literature for ARS was performed, especially of the two most significant position papers (EPOS 2020, ICARS-RS-2021, AAO-HNSF, AWMF-S2k-Leitlinie). The past years, a differentiated view on ARS and its classification has evolved. ARS is mainly an inflammatory disease triggered by viral infection while a minority develops into a bacterial infection. The diagnosis is mainly clinical and most cases are self-resolving with symptomatic treatment.