Acute rhinosinusitis in children is defined as sudden onset of two or more of the symptoms:<\/p>\n\n\n\n
\u2022 nasal blockage\/obstruction\/congestion<\/p>\n\n\n\n
\u2022 or discoloured nasal discharge<\/p>\n\n\n\n
\u2022 or cough (daytime and night-time)<\/p>\n\n\n\n
for < 12 weeks; with symptom free intervals if the problem is recurrent. <\/p>\n\n\n\n
Assessment should also be made of allergic symptoms (i.e. sneezing, watery rhinorrhoea, nasal itching, and itchy watery eyes). ARS can occur once or more than once in a defined time period. This is usually expressed as episodes\/year but there must be complete resolution of symptoms between episodes for it to constitute genuine recurrent ARS.<\/p>\n\n\n\n
ARS \u2013 Clinical Course:<\/u><\/strong><\/p>\n\n\n\n Please see Primary Care management for further detail.<\/p>\n\n\n\n <\/p>\n\n\n\n IMMEDIATE EMERGENCY REFERRAL to A&E or on call ENT is required if any of the following are present:<\/strong><\/p>\n\n\n\n Some children with severe bacterial rhinosinusitis may also need urgent assessment in A&E.<\/p>\n<\/div><\/div>\n\n\n\n Where a diagnosis needs to be secured, please consider anterior rhinoscopy <\/strong>(using otoscope and large speculum or head light and nasal speculum).<\/strong><\/p>\n\n\n\n CT AND X-RAYS are not recommended.<\/strong><\/p>\n\n\n\n Saline irrigation and topical nasal steroids can be helpful for ongoing rhinosinusitis symptoms.<\/p>\n\n\n\n For severe cases, where acute bacterial rhinosinusits is being considered, consider antibiotics (or referral for acute admission for more severe illness).<\/p>\n\n\n\n Please see the RefHelp Chronic Rhinosinusitis page for management of longer term symptoms.<\/p>\n<\/div><\/div>\n\n\n\n Nice Clinical Knowledge Summary (from age 3 months; covers acute and chronic sinusitis management): https:\/\/cks.nice.org.uk\/sinusitis<\/a><\/p>\n\n\n\n The European Position Paper on Rhinosinusitis and Nasal Polyps – Epos<\/a> Guidelines 2020:<\/p>\n\n\n\n www.rhinologyjournal.com\/Documents\/Supplements\/supplement_29.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Acute rhinosinusitis in children is defined as sudden onset of two or more of the symptoms: • nasal blockage\/obstruction\/congestion • or discoloured nasal discharge • or cough (daytime and night-time) for < 12 weeks; with symptom free intervals if the problem is recurrent. Assessment should also be made of allergic symptoms (i.e. sneezing, watery<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":22473,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1207],"class_list":["post-22453","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-acute-rhinosinusitis-paediatric"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" Acute Rhinosinusitis-Paediatric<\/a>","rttpg_excerpt":"Acute rhinosinusitis in children is defined as sudden onset of two or more of the symptoms: • nasal blockage\/obstruction\/congestion • or discoloured nasal discharge • or cough (daytime and night-time) for < 12 weeks; with symptom free intervals if the problem is recurrent. Assessment should also be made of allergic symptoms (i.e. sneezing, watery","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=22453"}],"version-history":[{"count":2,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22453\/revisions"}],"predecessor-version":[{"id":22605,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22453\/revisions\/22605"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22473"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=22453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=22453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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Who to refer:<\/strong><\/h4>\n\n\n\n
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