Prevalence and clinical presentation of sinusitis in pediatric age group in Aseer, Saudi Arabia

Abstract

Background: Paediatric rhinosinusitis is mostly different than that in adults. More frequently, children presented with cough, bad breath, crankiness, low energy, and swelling around the eyes, besides a thick yellow-green nasal or post-nasal discharge. About 5- 13% of childhood viral upper respiratory tract infections may advance to acute rhinosinusitis, with some of them developing a chronic condition. Aim: To assess prevalence and clinical presentation of sinusitis in the paediatric age group in Aseer, Saudi Arabia. Methodology: A retrospective record-based study was conducted in Abha Maternity and Children Hospital in Abha city, Saudi Arabia between January 2015 and January 2018. All medical records during the study period for children whose from to 15 years old attended the hospital and diagnosed as having sinusitis were included. Results: The study included 100 children with complete files whose ages ranged from less than 1 year to up to 13 years old with a mean age of 5.3 4.2 years. Nearly 51% of the children aged 4 years or less and male were 53 (53%). Past history for chronic rhinosinusitis (CRS) was positive among 30 children. Regarding clinical presentations of rhinosinusitis (RS) as reported by the children caregivers, fever was the most reported complaint (50%) followed by red eye (44%), ringing nose (42%), cough (41%) and headache (36%). Mucous culture was positive among 58 cases. The most isolated pathogens were streptococcus pneumoniae (45.6%), Haemophilis influenza (24.6%). Conclusions: In conclusion, the study revealed that CRS is a common disease in children at different ages, especially, maxillary and frontal sinuses. In most of the cases, medical treatment is highly appreciated; though, surgical intervention may be needed in a small percentage.

The Rate and Outcome of Sinonasal Disease in Children with Primary Immunodeficiency; Tertiary Hospital Experience

“…(P=0.424) According to our findings, nasal obstruction was the most prevalent presenting symptom (33.3%), followed by fever, face pain, and rhinorrhea (22.2 %). The least reported symptoms in this study were nasal discharge and difficulty breathing [10]. Only one patient (11.11 %) had facial swelling, which has previously been found to be strongly indicative of acute invasive fungal rhinosinusitis (AIFR) [4], yet none of the patient in this study developed AIFR.…”

Dietary habits, physical activity, and self-reported rhinosinusitis in children and adolescents

“…Gilani et al showed that children in the age group of 5 to 15-year-old are more likely to be affected by RS ( 13 ). Chronic RS is common disease in children at different ages ( 15 ) and affects both children and adolescents.…”

Clinical Characteristics of Rhinosinusitis in Children in a Tertiary Care Center

“…In Saudi Arabia, studies regarding the prevalence and clinical presentation of RS in pediatric patients are scarce. A study done in Aseer reported that 30 patients out of the 100 patients included had a previous history of RS with 38% having a positive family history [13]. It is worth noting that this is the only study that has been conducted thus far, addressing the issue of sinusitis in Saudi Arabia.…”