Acute Rhinosinusitis

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Clinical presentation

• Nasal blockage, rhinorrhoea, anosmia facial pressure/pain are common symptoms
• Examination reveals clear nasal discharge initially and discharge turns mucopurulent when bacterial superinfection
• Majority are caused by viral infections such as rhinovirus, Adenovirus, respiratory syncytial virus, Para influenza virus

Treatment

• Observation and supportive care
• Analgesia and plenty of oral fluids

Indications of antibiotics

• Failure of resolution of symptoms in 48-72
• Discharge turns mucopurulent
• Patients with comorbidities e.g. malnutrition, immunosuppression

Medicine	Adult Dose	Frequency	Duration
amoxicillin po	500mg	3 times a day	7 days

Chronic Rhinosinusitis

If above symptoms persist for 90 days - REFER