Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.

List the clinical criteria that must be present to support this diagnosis in pediatric patients from newborn to 21 years of age. Categorize clinical signs and symptoms by: Persistent Symptoms, Severe Onset, or Worsening Symptoms. List Criteria for Persistent Symptoms. List Criteria for Severe Onset of Symptoms. List Criteria for Worsening Symptoms.

When would imaging studies be indicated?

What is the recommended Antibiotic for Child with No Known Allergies?

Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).

What is the second line Recommended Antibiotic for Child with allergy to PCN

Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).

When is Referral indicated?

What additional medications and or treatment strategies are recommended for treatment or symptomatic control

What is the treatment change in a child with worsening symptoms at 72 hours after initiation of antibiotic

When is outpatient 72 hour “observation” acceptable?

What modifications would be needed for the following children:

Four year old who is otherwise healthy

Child with immune deficiency

Child with two prior sinus infections

Child with cystic fibrosis

What other conditions would modify these treatment recommendations?

 

 

 

 

 

 

 

 

 

 

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