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- Benjamin Wyler and William K Mallon.
- Department of Emergency Medicine, Stony Brook University (SUNY), 101 Nicholls Road, HSC Level 4, Stony Brook, NY 11794, USA. Electronic address: bwyler@gmail.com.
- Emerg. Med. Clin. North Am. 2019 Feb 1; 37 (1): 41-54.
AbstractRhinosinusitis affects many pediatric patients as well as 1 in 6 adults in any given year, resulting in ambulatory care, pediatric, and emergency department visits. Uncomplicated rhinosinusitis requires no imaging or testing and does not require antibiotic treatment. Using strict clinical diagnostic criteria may minimize unnecessary antibiotics. When indicated, amoxicillin with or without clavulanate for 5 to 10 days remains the first-line antibiotic, despite increasing incidence of staphylococcal sinusitis in the post-pneumococcal conjugate vaccine era. Emergency providers also need to recognize atypical cases in which uncommon but serious complications of sinusitis cause both morbidity and mortality.Copyright © 2018 Elsevier Inc. All rights reserved.
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