Monday, February 8, 2016

AAP issues new guidelines for treating sinusitis

How should the sinus inflammation be treated, and how it is different from a cold? Find out here.

AAP issues new guidelines for treating sinusitis


The American Academy of Pediatrics released its first major revision on the office diagnosis and treatment of sinusitis this week. Sinusitis or inflammation of the sinuses is an infection of the hollow spaces in the bones of the face and head that help us clear our nose and balance.  

Previous guidelines from 2001 recommended antibiotic therapy for all children diagnosed with acute bacterial sinusitis, the new guideline allows doctors to observe children with persistent illness lasting more than 10 days for an additional three days. Children with severe onset or a worsening course of symptoms should receive antibiotics. 

Telling the difference between a common upper respiratory infection (cold) and a sinusitis is not easy. Antibiotics do not make common colds better and they can have serious side effects. Bacterial sinus infections may need antibiotics to stop them from getting worse or causing other serious infections of the head and neck. 

What parents should know about these guidelines is when to go to the doctor because a "cold" may be something more serious.

  1. If the child has a very congested and/or runny nose for 10 days especially when it is associated with a daytime cough (may also have a night cough)
  2. If the child has a high fever (over 39 C, which is 102.2 F) for 72 hours or has a high fever and is not eating or drinking and is difficult to calm
  3. A child's cold got better and then in a day or two the child is suddenly much more ill with a fever and/or pus-filled nasal discharge

Treatment is still basic antibiotics such as amoxicillin or the combination of amoxicillin and clavulinic acid, but at high doses.

Read more from the Healthy Kids blog »

We encourage respectful comments but reserve the right to delete anything that doesn't contribute to an engaging dialogue.
Help us moderate this thread by flagging comments that violate our guidelines.

Comment policy: comments are intended to be civil, friendly conversations. Please treat other participants with respect and in a way that you would want to be treated. You are responsible for what you say. And please, stay on topic. If you see an objectionable post, please report it to us using the "Report Abuse" option.

Please note that comments are monitored by staff. We reserve the right at all times to remove any information or materials that are unlawful, threatening, abusive, libelous, defamatory, obscene, vulgar, pornographic, profane, indecent or otherwise objectionable. Personal attacks, especially on other participants, are not permitted. We reserve the right to permanently block any user who violates these terms and conditions.

Additionally comments that are long, have multiple paragraph breaks, include code, or include hyperlinks may not be posted.

Read 0 comments
comments powered by Disqus
About this blog
The Healthy Kids blog is your window into the latest news, research and advice around children's health. Learn more about our growing list of contributors here.

If you have questions about your child's health, ask them here.

Anna Nguyen Healthy Kids blog Editor
Sarah Levin Allen, Ph.D., CBIS Assistant Professor of Psychology at Philadelphia College of Osteopathic Medicine
Stephen Aronoff, M.D., M.B.A. Chair of the Department of Pediatrics at Temple University Hospital
Peter Bidey, D.O. Medical Director of Family Medicine at Philadelphia College of Osteopathic Medicine
Christopher C. Chang, MD, PhD, MBA, FAAAAI, FACAAI Associate Professor of Medicine in division of Rheumatology, Allergy and Clinical Immunology at UC Davis
Katherine K. Dahlsgaard, Ph.D. Lead Psychologist of The Anxiety Behaviors Clinic at Children's Hospital of Philadelphia
Gary A. Emmett, M.D., F.A.A.P Director of Hospital Pediatrics at TJU Hospital & Pediatrics Professor at Thomas Jefferson Univ.
Magee DeFelice, M.D. Chief of Allergy and Immunology at Nemours/Alfred I. duPont Hospital for Children
Hazel Guinto-Ocampo, M.D. Chief of Pediatric Emergency Services at Nemours duPont Pediatrics/Bryn Mawr Hospital
Rima Himelstein, M.D. Adolescent Medicine Specialist at Crozer-Keystone Health System
Jessica Kendorski, PhD, NCSP, BCBA-D Associate Professor in School Psychology/Applied Behavior Analysis at Philadelphia College of Osteopathic Medicine
Anita Kulick President & CEO, Educating Communities for Parenting
Janet Rosenzweig, MS, PhD, MPA VP for Programs & Research for Prevent Child Abuse America
Beth Wallace Smith, R.D. Registered Dietitian at Children's Hospital of Philadelphia
Emiliano Tatar, M.D. Pediatrician at Einstein Healthcare Network Roxborough Plaza
Jeanette Trella, Pharm.D Managing Director at The Poison Control Center at CHOP
W. Douglas Tynan, Ph.D., ABPP Director of Integrated Health Care for American Psychological Association
Flaura Koplin Winston, M.D., Ph.D. Scientific Director of the Children’s Hospital of Philadelphia’s Center for Injury Research and Prevention
Latest Videos
Also on
letter icon Newsletter