Resumo

ALBANIL BALLESTEROS, M. R. et al. Diagnosis and management of sinusitis: attitudes of the pediatricians. Rev Pediatr Aten Primaria [online]. 2014, vol.16, n.61, pp.23-33. ISSN 1139-7632.  https://dx.doi.org/10.4321/S1139-76322014000100005.

Introduction: sinusitis is a common condition whose approach in daily pediatric practice is not well known. Methods: performing a national level cross-sectional study through a survey distributed "on line" to members of 2 pediatric societies, in March 2013. Results: 994 responses were obtained (78% of Primary Care). Most professionals estimated the frequency of sinusitis being about 1% of the visits. 76.6% reported exclusively diagnosis with clinical criteria, considering (92%) an association of symptoms including persistent / purulent rhinorrhea (89%), facial pain / headache (84%), prolonged or nocturnal cough and fever in the context of upper respiratory infection (URI) (54%). Between 19.7 and 33.4% of professionals (primary / specialist) would request radiographs. 90% reported using antibiotics with or without other adjunctive treatments, being amoxicillin-clavulanate (52%) the chosen antibiotic, followed by amoxicillin 46%. 81% of pediatricians diagnose URI in more than 30% of visits and in 85% of cases do not prescribe drug treatment. When the URI lasts more than 14 days, 70% of them decide to treat. The most widely used treatments are anti-inflammatory / analgesics (54.5%) and antibiotics (51.4%). Conclusions: pediatricians' knowledge and clinical practice in URI and sinusitis indicate a high level of compliance with the most recent clinical practice guidelines, highlighting the limited use of antibiotics in the URI, the clinical diagnosis of sinusitis and the empirical choice of antibiotic.

Palavras-chave : Sinusitis; Upper respiratory tract infection; Antibiotics; Radiology; Amoxicilin; Amoxicilin-clavulanate.

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