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Acute Pediatric Sinusitis And "The 10-Day Rule"

February 2006

Abstract

Sinusitis remains one of the most clinically frustrating and debatable diseases in children. The American Academy of Pediatrics defines acute bacterial sinusitis as an infection of the paranasal sinuses of less than 30 days duration that presents with severe or persistent symptoms.1 Symptoms of a cold or allergy often overlap with the symptoms of sinusitis, and insufficient data in the pediatric sinusitis literature make the diagnosis difficult and challenging. Although antibiotics are frequently prescribed for sinusitis, increasing microbial resistance to antibiotics and cases of clinical resolution without antibiotics make treatment controversial.



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