Scholarlink

<p>Acute rhinosinusitis (ARS) is usually primarily a&#xa0;viral disease. During the course of the disease, bacteria can be detected by culture in about half of the cases. With a&#xa0;focus on the resulting treatment options, ARS is classified as acute viral RS (AVRS; duration &lt; 10&#xa0;days), acute post-viral RS (APVRS; worsening after approximately 5&#xa0;days and/or duration &gt; 10&#xa0;days), and acute bacterial RS (ABRS; at least three of the following five criteria: fever &gt; 38 °C, biphasic disease course, unilateral symptoms, severe pain, and elevated C‑reactive protein [CRP]). AVRS can be treated with zinc, decongestants, nonsteroidal anti-inflammatory drugs (NSAIDs), and phytotherapeutics. Intranasal steroids (INS) are additionally helpful for APVRS and antibiotics only for ABRS. The substance of first choice is amoxicillin; the potential benefit should be weighed against possible side effects and development of resistance in each individual case.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Akute Rhinosinusitis des erwachsenen Patienten

  • 期刊论文

  • 发表日期：

    2025年6月10日

查看全文
  • Bernhard Olzowy

摘要

Acute rhinosinusitis (ARS) is usually primarily a viral disease. During the course of the disease, bacteria can be detected by culture in about half of the cases. With a focus on the resulting treatment options, ARS is classified as acute viral RS (AVRS; duration < 10 days), acute post-viral RS (APVRS; worsening after approximately 5 days and/or duration > 10 days), and acute bacterial RS (ABRS; at least three of the following five criteria: fever > 38 °C, biphasic disease course, unilateral symptoms, severe pain, and elevated C‑reactive protein [CRP]). AVRS can be treated with zinc, decongestants, nonsteroidal anti-inflammatory drugs (NSAIDs), and phytotherapeutics. Intranasal steroids (INS) are additionally helpful for APVRS and antibiotics only for ABRS. The substance of first choice is amoxicillin; the potential benefit should be weighed against possible side effects and development of resistance in each individual case.