Acute Bacterial Sinusitis

Acute Bacterial Sinusitis

  Autor dr. Molfea Camelia Data: 17.04.2006

Acute Bacterial Sinusitis
The bacterial acute sinusitis is defined as a purulent accumulation in one or more sinuses and which usually shows in 3-5 days after acute rhinitis (infection of nasal mucous membrane). 

Acute and chronic sinusitis occurs at school age and in adolescence most often. The causes are the bacteria such as pneumococcus and streptococcus. The staphylococcus is frequently the cause of newborn and infant sinusitis. The factors which lead to the inflammation of sinuses are: allergies, disorders of the normal sinuses drainage (because of deviated septum), factors regarding the child structure and the environment. 
Usually, the sinusitis shows nonspecific symptoms (symptoms which are characteristic to other diseases too): fever, cough especially during night caused by purulent sinusal discharge into the pharynx when the child sleeps on the back. The newborn and the infant may show sign which indicate a respiratory failure by the obstruction of nasal fossa with thick purulent discharges. Actually, what firstly seems to be repetead colds associated with purulent discharges might be a rebound sinusitis. 
Many times, older children might complain of headaches. The pain occurs frequently if there is a pressure on the affected sinuses. In newborns and infant, you may identify a sinusitis if there is an edema (swelling) of the nose root. 
The diagnosis is established by an ENT test which shows the purulent discharges coming from the communication channels between nasal fossa and sinuses. The best would be to make a sinusal endoscopy (visualizing the sinuses with a special optic tool). It is important to examine the discharges in order to identify the bacteria that caused the disease. 
The treatment consists in the aspiration of purulent discharges and nasal irrigation with serum ephedrine to decongest the nasal mucous membrane. The drainage of the discharges can be done through sinus puncture but this method is used only for older children if the symptoms last longer. Another method is the endoscopic sinus surgery. 
The antibiotics are used if we deal with thick purulent discharges, especially in newborns and little infants as well as in those with febrile dystrophic symptoms who are exposed to high risks, if the fever lasts longer, if the symptoms are severe or if the disease is long and reoccurs often. 
The oxacillin is used especially in newborns and infants, because the infection is often caused by staphylococcus at this age. 




Read the English version of this article: Acute Bacterial Sinusitis