Learn the difference between acute bacterial and viral sinusitis. What symptoms suggest that the cause is likely bacterial, and therefore, the patient might need antibiotics? Can X-ray, CT, MRI, nasal swabs, or other diagnostic tests help? When is it safe to withhold antibiotics? What will happen if you miss the diagnosis of acute bacterial sinusitis?

Download the summary of this presentation in PDF:
[ Ссылка ]

If you are interested in acute care and emergency medicine, I recommend you take my free online course on recognizing life-threatening infections:
A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know:
[ Ссылка ]

DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.

CHAPTERS:
00:00 Why we overuse antibiotics in respiratory infections
01:47 What is normal for the common cold
03:45 Signs of a possible bacterial infection: persistent fever
04:17 Double worsening: a new bout of fever
04:41 Prolonged respiratory symptoms
06:11 Severe pain in the sinuses
06:46 Purulent nasal discharge
07:39 Complications of acute bacterial sinusitis
10:41 Diagnostic tests for acute bacterial sinusitis (sinus X-ray, CT, nasal swab)

REFERENCES & RECOMMENDED READING:

1. Aw C, Ms B, I B, Jl B, Ej G, La H, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [Internet]. 2012 Apr [cited 2022 Oct 9];54(8). Available from: [ Ссылка ]

2. Overview | Sinusitis (acute): antimicrobial prescribing | Guidance | NICE [Internet]. NICE; [cited 2022 Oct 9]. Available from: [ Ссылка ]

3. Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg. 2015 Apr;152(2 Suppl):S1–39.

свернуть