Microbiology and antimicrobial treatment of orbital and intracranial complications of sinusitis in children and their management

Brook, Itzhak

doi:10.1016/j.ijporl.2009.01.020

Cited by 142 publications

(109 citation statements)

References 27 publications

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“…In medical literature the aerobic species cited as being among the most prevalent include S. aureus, 3,6,7,[11][12][13] H. influenzae, 1,2,6,9 S. milleri, 4,5 S. pneumoniae, 2,9,12 S. viridans 3,6 and M. catarrhalis. 2,9 The most frequently reported anaerobes include Peptostreptococcus, Prevotella, Fusobacterium, Propionibacterium and Bacteroides.…”

Section: Discussionmentioning

confidence: 99%

“…The notable absence of S. milleri as seen at JH is also reported by other authors. 3,6,7,[11][12][13] Lancefield group A, C, F and G β-haemolytic streptococci (10.8%) were isolated at both hospitals. Group C, with 11 isolates, had the highest count, followed by groups A and F, then finally by group G ( Table I).…”

Section: Discussionmentioning

confidence: 99%

“…Few studies on complicated sinusitis make specific mention of β-haemolytic streptococci as a pathogen. 1,7,15 In one recent study the authors present what they consider to be the first reported case of the isolation of group C streptococcus, in complicated sinusitis, from a child with an orbital sub-periosteal abscess. 15 In this study S. aureus (12.4%) was the second most common isolate.…”

Section: Discussionmentioning

confidence: 99%

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Microbiology of acute complicated bacterial sinusitis at the University of the Witwatersrand

Olwoch

2010

S Afr Med J

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Microbiology of acute complicated bacterial sinusitis at the University of the Witwatersrand

Olwoch

2010

S Afr Med J

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“…The most common complication of acute sinusitis involves the orbit in children with ethmoid sinusitis who are younger than 5 years. [29][30][31] Orbital complications should be suspected when the child presents with a swollen eye, especially if accompanied by proptosis or impaired function of the extraocular muscles. Orbital complications of acute sinusitis have been divided into 5 categories: sympathetic effusion, subperiosteal abscess, orbital cellulitis, orbital abscess, and cavernous sinus thrombosis.…”

Section: Optionmentioning

confidence: 99%

“…Intracranial complications include subdural empyema, epidural empyema, venous thrombosis, brain abscess, and meningitis. 29 Typically, patients with intracranial complications of acute bacterial sinusitis are previously healthy adolescent males with frontal sinusitis. 33,34 There have been no head-to-head comparisons of the diagnostic accuracy of contrast-enhanced CT scanning to MRI with contrast in the evaluation of orbital and intracranial complications of sinusitis in children.…”

Section: Optionmentioning

confidence: 99%

Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

Wald,

Applegate,

Bordley

et al. 2013

Pediatrics

446

368

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OBJECTIVE: To update the American Academy of Pediatrics clinical practice guideline regarding the diagnosis and management of acute bacterial sinusitis in children and adolescents. METHODS: Analysis of the medical literature published since the last version of the guideline (2001). RESULTS: The diagnosis of acute bacterial sinusitis is made when a child with an acute upper respiratory tract infection (URI) presents with (1) persistent illness (nasal discharge [of any quality] or daytime cough or both lasting more than 10 days without improvement), (2) a worsening course (worsening or new onset of nasal discharge, daytime cough, or fever after initial improvement), or (3) severe onset (concurrent fever [temperature ≥39°C/102.2°F] and purulent nasal discharge for at least 3 consecutive days). Clinicians should not obtain imaging studies of any kind to distinguish acute bacterial sinusitis from viral URI, because they do not contribute to the diagnosis; however, a contrast-enhanced computed tomography scan of the paranasal sinuses should be obtained whenever a child is suspected of having orbital or central nervous system complications. The clinician should prescribe antibiotic therapy for acute bacterial sinusitis in children with severe onset or worsening course. The clinician should either prescribe antibiotic therapy or offer additional observation for 3 days to children with persistent illness. Amoxicillin with or without clavulanate is the first-line treatment of acute bacterial sinusitis. Clinicians should reassess initial management if there is either a caregiver report of worsening (progression of initial signs/symptoms or appearance of new signs/symptoms) or failure to improve within 72 hours of initial management. If the diagnosis of acute bacterial sinusitis is confirmed in a child with worsening symptoms or failure to improve, then clinicians may change the antibiotic therapy for the child initially managed with antibiotic or initiate antibiotic treatment of the child initially managed with observation. CONCLUSIONS: Changes in this revision include the addition of a clinical presentation designated as “worsening course,” an option to treat immediately or observe children with persistent symptoms for 3 days before treating, and a review of evidence indicating that imaging is not necessary in children with uncomplicated acute bacterial sinusitis.

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Trends in Orbital Complications of Pediatric Rhinosinusitis in the United States

Capra

Liming

Boseley

et al. 2015

JAMA Otolaryngol Head Neck Surg

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Microbiology and antimicrobial treatment of orbital and intracranial complications of sinusitis in children and their management

Cited by 142 publications

References 27 publications

Microbiology of acute complicated bacterial sinusitis at the University of the Witwatersrand

Microbiology of acute complicated bacterial sinusitis at the University of the Witwatersrand

Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

Trends in Orbital Complications of Pediatric Rhinosinusitis in the United States

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