지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Acute rhinosinusitis is a common entity in children, most are due to viral infections, however up to over 80% children with rhinosinusitis are prescribed with antibiotics. Acute bacterial sinusitis should be diagnosed in when a child has 1) a severe onset with a fever over 39℃, purulent nasal discharge or facial pain for 3 to 4 days; 2) persistent illness with rhinorrhea, daytime cough or both for over 10 days with no clinical improvement; or 3) worsening course with symptoms aggravating or new onset symptoms including fever, headache, cough or rhinorrhea after clinical improvement. Radiographic imaging is not recommended for differentiation of viral and bacterial rhinosinusitis, however a contrast-enhanced computed tomography or magnetic resonance imaging may be done in cases with orbital or central nervous system complications. Antibiotics may be prescribed in cases with severe onset or worsening course. Antibiotics may be prescribed after additional observation for 3 days in children with persistent illness. Amoxicillin-clavulanate (amoxicillin 40 to 50 mg/kg/day, every 12 hours) is recommended for initial treatment and high dose amoxicillin-clavulanate (amoxicillin 90 mg/kg/day every 12 hours) may be considered in cases with severe infection, children in day care center, under 2 years of age, recent admission history, previous antibiotics within 1 month and immunocompromised children. Clinical response should be reassessed in cases of worsening or failure to improve within 72 hours of treatment.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Revai K / 2007 / Incidence of acute otitis media and sinusitis complicating upper respiratory tract infection: the effect of age / Pediatrics 119:e1408~e1412
Gwaltney JM Jr / 2004 / Acute community-acquired bacterial sinusitis: the value of antimicrobial treat-ment and the natural history / Clin Infect Dis 38:227~233
DeMuri GP / 2016 / Clinical features, virus identification, and sinusitis as a complication of upper respiratory tract illness in children ages 4-7 years / J Pediatr 171:133~139
Kronman MP / 2014 / Bacterial pre-valence and antimicrobial prescribing trends for acute respi-ratory tract infections / Pediatrics 134:e956~e965
Korea Centers for Disease Control and Prevention / 2016 / Guidelines for the antibiotic use in children with acute upper respiratory tract infections / Korea Centers for Disease Control and Prevention
Gwaltney JM Jr / 2004 / Acute community-acquired bacterial sinusitis: the value of antimicrobial treat-ment and the natural history / Clin Infect Dis 38:227~233
DeMuri GP / 2016 / Clinical features, virus identification, and sinusitis as a complication of upper respiratory tract illness in children ages 4-7 years / J Pediatr 171:133~139
Kronman MP / 2014 / Bacterial pre-valence and antimicrobial prescribing trends for acute respi-ratory tract infections / Pediatrics 134:e956~e965
Korea Centers for Disease Control and Prevention / 2016 / Guidelines for the antibiotic use in children with acute upper respiratory tract infections / Korea Centers for Disease Control and Prevention
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