xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 2021, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.22741 by Stanford University, Wiley Online Library on [01/07/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

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Orlandi et al.

ABRS: At least 3 of: discolored discharge and purulent secretions, severe local pain (with unilateral predominance), fever >

(Continues)

ABRS is suggested by the presence of at least 3 of the following symptoms/signs: discolored discharge, severe local pain, fever ( > 38 ◦ C), elevated ESR/CRP, "Double sickening."

The value of fever and facial pain could not be assessed in adults with ABRS and these symptoms should not be used in

clinical practice to distinguish between a bacterial and viral source

Rosenfeld 88 2015 2 Systematic Review Adults with ABRS ARS symptoms include purulent nasal discharge and nasal obstruction, facial pain/pressure/fullness, or both.

ABRS likely if symptoms persist without evidence of improvement for at least 10

days or symptoms worsen within 10 days after an initial improvement.

TABLE V-1 Evidence for the definition of acute rhinosinusitis Study Year LOE Study Design Study Groups Conclusions Fokkens 31 2012 2 Systematic Review Rhinosinusitis patients Acute post-viral rhinosinusitis is defined as: increase of symptoms after 5 days or persistent symptoms after 10 days with less than 12 weeks duration.

Hansen 144 2014 3 Systematic Review Adults with ABRS Acute post-viral rhinosinusitis: increase of symptoms after 5 days or persistent

symptoms after 10 days with less than 12 weeks duration.

38, elevated ESR/CRP, double sickening (deterioration after an initial milder phase of illness). Hauer 145 2014 3 Systematic Review Adults suspected of ABRS. Either or both fever ( > 38.0C) and (facial and dental) pain.