Pediatric emergency medicine trisk 2365 2365

e-TABLE 94.3
SIGNS AND SYMPTOMS OF ACUTE BACTERIAL SINUSITIS
Signs/symptoms

Frequency

Nasal discharge
Cough

>90%
75%

Fever
Headache/facial pain
Facial swelling
Periorbital or orbital edema

50%
Rarely seen in young children
10–20% with maxillary sinusitis
20–40% with ethmoid sinusitis

e-TABLE 94.4
CLINICAL CRITERIA FOR THE DIAGNOSIS OF ACUTE
BACTERIAL SINUSITIS IN CHILDREN 1 TO 18 YEARS OF AGE
1. Persistent nasal drainage and/or daytime cough lasting more than 10 days
without improvement or
2. Worsening clinical course (nasal drainage, daytime cough, or fever) after
initial clinical improvement or
3. Purulent nasal drainage for at least 3 consecutive days and fever ≥102.2°F
(39°C)

From Wald ER, Applegate KE, Bordley C, et al. Clinical practice guideline for the diagnosis and
management of acute bacterial sinusitis in children aged 1 to 18 years. Pediatrics 2013;132(1):e262–e280.