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Otolaryngology, Respiratory, and Allergic
Acute Bacterial Rhinosinusitis
March 1999
Clinical Focus*
What is the prevalence of bacterial infection among
patients presenting with acute rhinosinusitis in primary care and specially settings?
What is the diagnostic value of clinical features and imaging technologies for identifying acute rhinosinusitis and acute bacterial rhinosinusitis?
Given a (clinical) diagnosis of acute bacterial rhinosinusitis, are antibiotics effective in resolving symptoms and preventing complications or recurrence?
In treating acute bacterial rhinosinusitis, what is the efficacy of antibiotics compared with placebo, and among the various antibiotics, what is their comparative efficacy? What evidence do these comparative studies provide regarding side effects?
Are there data to support the use of other types of treatments for acute rhinosinusitis and acute bacterial rhinosinusitis—specifically decongestants, steroids, antihistamines, and drainage and irrigation? What is the efficacy of antibiotics compared with other types of treatment? What evidence do any comparative studies provide regarding side effects of this treatment?
*Addressed in the summary or evidence report.
Diagnosis and Treatment of Acute Bacterial Rhinosinusitis Summary (Publication No. 99-E015, March 1999) Evidence Report (Publication No. 99-E016, March 1999) Selected Publications
EPC: New England Medical Center
Topic Nominators: American Academy of Otolaryngology, American Academy of Family Practice, American Academy of Pediatrics, American College of Physicians