Rhinosinusitis in children: Update on etiology and treatment

Tina Quanbee Tan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

In children, most cases of rhinosinusitis involve one of three bacteria, Streptococcus pneumoniae, Hemophilus influenzae, or Moraxella catarrhalis. However, multiple pathogens, including Staphylococcus aureus, Streptococcus pyogenes, anaerobes, gram-negative bacteria, fungi, and viruses may also be present. For treatment, amoxicillin alone is usually preferred. Where penicillin-resistant bacteria are highly prevalent, consider amoxicillin- clavulanate. Trimethoprimsulfamethoxazole, erythromycin-sulfisoxazole, cefuroxime axetil, cefpodoxime, and clarithromycin are suitable alternatives. Clinical improvement normally occurs within a few days. Depending on the rapidity of the clinical response, continue therapy for 2 to 3 weeks to avoid relapse. Complications involving the orbit or intracranial contents sometimes occur and are life-threatening.

Original languageEnglish (US)
Pages (from-to)937-946
Number of pages10
JournalJournal of Respiratory Diseases
Volume19
Issue number11
StatePublished - Dec 5 1998

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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