Sinusitis - Revision history

Danbot: Add pediatric Ceftriaxone for severe sinusitis

2026-03-20T13:15:27Z

Add pediatric Ceftriaxone for severe sinusitis

← Older revision		Revision as of 13:15, 20 March 2026
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	*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}
			*{{AntibioticDose\|drug=Ceftriaxone\|dose=50mg/kg IV daily (max 2g); for severe or treatment failure\|context=Pediatric Sinusitis, Severe\|disease=Sinusitis\|population=Pediatric}}
	==Disposition==		==Disposition==
	*Discharge		*Discharge

Danbot: Add Cefuroxime AntibioticDose entries (Adult + Pediatric) from original Cefuroxime page

2026-03-20T12:36:26Z

Add Cefuroxime AntibioticDose entries (Adult + Pediatric) from original Cefuroxime page

← Older revision		Revision as of 12:36, 20 March 2026
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	*{{AntibioticDose\|drug=Ceftriaxone\|dose=1-2g IV q12-24h x 7-10 days\|context=Sinusitis, Severe\|disease=Sinusitis\|population=Adult}}		*{{AntibioticDose\|drug=Ceftriaxone\|dose=1-2g IV q12-24h x 7-10 days\|context=Sinusitis, Severe\|disease=Sinusitis\|population=Adult}}
	*{{AntibioticDose\|drug=Amoxicillin\|dose=1000mg PO q8h x 10 days\|context=Sinusitis\|disease=Sinusitis\|population=Adult}}		*{{AntibioticDose\|drug=Amoxicillin\|dose=1000mg PO q8h x 10 days\|context=Sinusitis\|disease=Sinusitis\|population=Adult}}
			*{{AntibioticDose\|drug=Cefuroxime\|dose=250mg PO BID x 10 days\|context=Alternative, not recommended per IDSA guidelines\|disease=Sinusitis\|population=Adult}}
	====Pediatric====		====Pediatric====
	*{{AntibioticDose\|drug=Clindamycin\|dose=30-40mg/kg/day PO divided q8h x 10-14 days; Use with cefixime or cefpodoxime\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Clindamycin\|dose=30-40mg/kg/day PO divided q8h x 10-14 days; Use with cefixime or cefpodoxime\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}
	*{{AntibioticDose\|drug=Azithromycin\|dose=Children ≥6 months: Oral: 10mg/kg PO once daily for 3 days (maximum: 500mg daily)\|context=Bacterial sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Azithromycin\|dose=Children ≥6 months: Oral: 10mg/kg PO once daily for 3 days (maximum: 500mg daily)\|context=Bacterial sinusitis\|disease=Sinusitis\|population=Pediatric}}
	*{{AntibioticDose\|drug=Amoxicillin\|dose=90mg/kg/day PO divided q8-12h x 10 days; Max: 1000mg/dose\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Amoxicillin\|dose=90mg/kg/day PO divided q8-12h x 10 days; Max: 1000mg/dose\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}
			*{{AntibioticDose\|drug=Cefuroxime\|dose=30mg/kg/day PO divided BID x 10 days (max 500mg/dose)\|context=Alternative, not recommended per IDSA guidelines\|disease=Sinusitis\|population=Pediatric}}

	*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}

Danbot: Add Cefpodoxime pediatric AntibioticDose for acute sinusitis

2026-03-20T11:05:58Z

Add Cefpodoxime pediatric AntibioticDose for acute sinusitis

← Older revision		Revision as of 11:05, 20 March 2026
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	*{{AntibioticDose\|drug=Amoxicillin\|dose=90mg/kg/day PO divided q8-12h x 10 days; Max: 1000mg/dose\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Amoxicillin\|dose=90mg/kg/day PO divided q8-12h x 10 days; Max: 1000mg/dose\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}

			*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}
	==Disposition==		==Disposition==
	*Discharge		*Discharge

Danbot: Add Ceftriaxone, Clindamycin, Azithromycin, Amoxicillin AntibioticDose entries

2026-03-20T11:01:03Z

Add Ceftriaxone, Clindamycin, Azithromycin, Amoxicillin AntibioticDose entries

@@ Line 80: / Line 80: @@
 *Consider [[foreign body]]
 *Consider [[antifungals]]
 ==Disposition==

Ejb711: /* >10 days of symptoms */

2021-12-11T17:58:29Z

>10 days of symptoms

← Older revision		Revision as of 17:58, 11 December 2021
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	**First line is [[amoxicillin-clavulanate]] for 7-10 days		**First line is [[amoxicillin-clavulanate]] for 7-10 days
	***Amox 40-45mg/kg PO with clavulanate 3.2 mg/kg PO bid for 10d		***Amox 40-45mg/kg PO with clavulanate 3.2 mg/kg PO bid for 10d
	**Second line is [[~~fluoroquinolone~~]] or [[doxycycline]]		**Second line is a respiratory [[fluoroquinolones]] ([[moxifloxacin]], [[gemifloxacin]], and [[levofloxacin]]) or [[doxycycline]]
	**If allergic, can use [[cefdinir]] (7mg/kg PO bid) or [[cefuroxime]] (15 mg/kg PO bid)		**If allergic, can use [[cefdinir]] (7mg/kg PO bid) or [[cefuroxime]] (15 mg/kg PO bid)

Rossdonaldson1: /* Evaluation */

2021-11-27T05:46:18Z

Evaluation

← Older revision		Revision as of 05:46, 27 November 2021
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	[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]		[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]
	[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]		[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]
			[[File:RtmaxobitinfectteethCT.png\|thumb\|Maxillary sinusitis caused by a dental infection associated with [[periorbital cellulitis]].]]
	[[File:Sinuses and Sinusitis (5937085231).jpg\|thumb\|CT finding of chronic sinusitis.]]		[[File:Sinuses and Sinusitis (5937085231).jpg\|thumb\|CT finding of chronic sinusitis.]]
	*Clinical diagnosis		*Clinical diagnosis

Rossdonaldson1: /* Evaluation */

2021-11-27T05:44:40Z

Evaluation

← Older revision		Revision as of 05:44, 27 November 2021
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	[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]		[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]
	[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]		[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]
			[[File:Sinuses and Sinusitis (5937085231).jpg\|thumb\|CT finding of chronic sinusitis.]]
	*Clinical diagnosis		*Clinical diagnosis
	*Consider CT only for toxic patients (to rule-out complication)		*Consider CT only for toxic patients (to rule-out complication)

Rossdonaldson1: /* Evaluation */

2021-11-27T05:36:18Z

Evaluation

← Older revision		Revision as of 05:36, 27 November 2021
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	==Evaluation==		==Evaluation==
	[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]		[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]
			[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]
	*Clinical diagnosis		*Clinical diagnosis
	*Consider CT only for toxic patients (to rule-out complication)		*Consider CT only for toxic patients (to rule-out complication)

Rossdonaldson1: /* Evaluation */

2021-11-27T05:35:06Z

Evaluation

← Older revision		Revision as of 05:35, 27 November 2021
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	==Evaluation==		==Evaluation==
			[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]
	*Clinical diagnosis		*Clinical diagnosis
	*Consider CT only for toxic patients (to rule-out complication)		*Consider CT only for toxic patients (to rule-out complication)

Rossdonaldson1 at 05:33, 27 November 2021

2021-11-27T05:33:09Z

← Older revision		Revision as of 05:33, 27 November 2021
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	==Background==		==Background==
			[[File:Paranasal sinuses numbers.png\|thumb\|Paranasal sinuses: 1. frontal sinuses, 2. ethmoid sinuses (ethmoidal air cells), 3. sphenoid sinuses, 4. maxillary sinuses.]]
	*Viral source is by far most common. Bacterial infection accounts for only 0.5-2% of all cases<ref name="Fokkens">Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaert P, Georgalas C, Goossens H, Harvey R, Hellings P, Hopkins C, Jones N, Joos G, Kalogjera L, Kern B, Kowalski M, Price D, Riechelmann H, Schlosser R, Senior B, Thomas M, Toskala E, Voegels R, Wang de Y, Wormald PJ. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl. 2012 Mar;(23):3 p preceding table of contents, 1-298</ref>		*Viral source is by far most common. Bacterial infection accounts for only 0.5-2% of all cases<ref name="Fokkens">Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaert P, Georgalas C, Goossens H, Harvey R, Hellings P, Hopkins C, Jones N, Joos G, Kalogjera L, Kern B, Kowalski M, Price D, Riechelmann H, Schlosser R, Senior B, Thomas M, Toskala E, Voegels R, Wang de Y, Wormald PJ. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl. 2012 Mar;(23):3 p preceding table of contents, 1-298</ref>
	**Other causes include allergies and fungal infection		**Other causes include allergies and fungal infection

← Older revision		Revision as of 12:36, 20 March 2026
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	*{{AntibioticDose\|drug=Ceftriaxone\|dose=1-2g IV q12-24h x 7-10 days\|context=Sinusitis, Severe\|disease=Sinusitis\|population=Adult}}		*{{AntibioticDose\|drug=Ceftriaxone\|dose=1-2g IV q12-24h x 7-10 days\|context=Sinusitis, Severe\|disease=Sinusitis\|population=Adult}}
	*{{AntibioticDose\|drug=Amoxicillin\|dose=1000mg PO q8h x 10 days\|context=Sinusitis\|disease=Sinusitis\|population=Adult}}		*{{AntibioticDose\|drug=Amoxicillin\|dose=1000mg PO q8h x 10 days\|context=Sinusitis\|disease=Sinusitis\|population=Adult}}
			*{{AntibioticDose\|drug=Cefuroxime\|dose=250mg PO BID x 10 days\|context=Alternative, not recommended per IDSA guidelines\|disease=Sinusitis\|population=Adult}}
	====Pediatric====		====Pediatric====
	*{{AntibioticDose\|drug=Clindamycin\|dose=30-40mg/kg/day PO divided q8h x 10-14 days; Use with cefixime or cefpodoxime\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Clindamycin\|dose=30-40mg/kg/day PO divided q8h x 10-14 days; Use with cefixime or cefpodoxime\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}
	*{{AntibioticDose\|drug=Azithromycin\|dose=Children ≥6 months: Oral: 10mg/kg PO once daily for 3 days (maximum: 500mg daily)\|context=Bacterial sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Azithromycin\|dose=Children ≥6 months: Oral: 10mg/kg PO once daily for 3 days (maximum: 500mg daily)\|context=Bacterial sinusitis\|disease=Sinusitis\|population=Pediatric}}
	*{{AntibioticDose\|drug=Amoxicillin\|dose=90mg/kg/day PO divided q8-12h x 10 days; Max: 1000mg/dose\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Amoxicillin\|dose=90mg/kg/day PO divided q8-12h x 10 days; Max: 1000mg/dose\|context=Sinusitis\|disease=Sinusitis\|population=Pediatric}}
			*{{AntibioticDose\|drug=Cefuroxime\|dose=30mg/kg/day PO divided BID x 10 days (max 500mg/dose)\|context=Alternative, not recommended per IDSA guidelines\|disease=Sinusitis\|population=Pediatric}}

	*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}		*{{AntibioticDose\|drug=Cefpodoxime\|dose=5mg/kg/dose (max 200mg/dose) q12h x 10 days\|context=Acute sinusitis\|disease=Sinusitis\|population=Pediatric}}

← Older revision		Revision as of 05:46, 27 November 2021
Line 41:		Line 41:
	[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]		[[File:Ethmoidinfection.png\|thumb\|A CT scan showing sinusitis of the ethmoid sinus.]]
	[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]		[[File:FrontalSinusitisMark.png\|thumb\|A CT scan showing sinusitis of the frontal sinus.]]
			[[File:RtmaxobitinfectteethCT.png\|thumb\|Maxillary sinusitis caused by a dental infection associated with [[periorbital cellulitis]].]]
	[[File:Sinuses and Sinusitis (5937085231).jpg\|thumb\|CT finding of chronic sinusitis.]]		[[File:Sinuses and Sinusitis (5937085231).jpg\|thumb\|CT finding of chronic sinusitis.]]
	*Clinical diagnosis		*Clinical diagnosis