dc.contributor.author | DeAlleaume, Lauren | eng |
dc.contributor.author | Parker, Sandi | eng |
dc.date.issued | 2003 | eng |
dc.description.abstract | No combination of clinical findings can reliably distinguish acute viral rhinosinusitis from acute bacterial rhinosinusitis in primary care. Although unreliable, the best clinical predictor of acute bacterial sinusitis is the combination of unilateral nasal discharge and unilateral pain (positive likelihood ratio [LR+], 4.5; negative likelihood ratio [LR-], 0.25) (strength of recommendation [SOR]: B). History of purulent rhinorrhea (LR+, 1.5-1.9), maxillary tooth pain (LR+, 2.1-2.5), and purulent secretions in the nasal cavity (LR+, 2.1-5.5) may increase the likelihood of acute bacterial rhinosinusitis. Illness that starts as the common cold and pain on bending forward were not predictors of acute bacterial rhinosinusitis (SOR: B). | eng |
dc.identifier.uri | http://hdl.handle.net/10355/2973 | eng |
dc.language | English | eng |
dc.publisher | Family Physicians Inquiries Network | eng |
dc.relation.ispartofcollection | Clinical Inquiries, 2003 (MU) | eng |
dc.relation.ispartofcommunity | University of Missouri--Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network | eng |
dc.relation.ispartofseries | Journal of family practice, 52, no. 07 (July 2003): 563-565. | eng |
dc.rights | OpenAccess. | eng |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. | eng |
dc.subject | unilateral pain | eng |
dc.subject | nasal discharge | eng |
dc.subject | rhinosinusitis | eng |
dc.subject | purulent rhinorrhea | eng |
dc.subject.lcsh | Sinusitis | eng |
dc.subject.lcsh | Paranasal sinuses -- Diseases | eng |
dc.subject.lcsh | Otolaryngology | eng |
dc.subject.lcsh | Respiratory organs -- Diseases | eng |
dc.title | What findings distinguish acute bacterial sinusitis? | eng |
dc.type | Article | eng |