Pediatric Client with Acute Bacterial Sinusitis

MN581: Unit 3 Assignment Template
 

Pediatric Client with Acute Bacterial Sinusitis

List the clinical criteria that must be present to support this diagnosis in pediatric patients from newborn to 21 years of age. Categorize clinical signs and symptoms by: Persistent Symptoms, Severe Onset, or Worsening Symptoms.

List Criteria for Persistent Symptoms.
Nasal congestion or obstruction
Coughing with no improvement for at least ten days

List Criteria for Severe Onset of Symptoms.
Concomitant fever and nasal discharge

List Criteria for Worsening Symptoms.
Deteriorating nasal congestion, coughing and fever with improvement
Worsening pain in the upper jaw

 When would imaging studies be indicated?

Imaging studies are preferred when orbital or central nervous system complications, mucosal thickening, and abnormalities in sinuses (Wald et al., 2013). Acute bacterial sinusitis is the bacterial infection of the paranasal sinuses, lasting less than 30 days, and there is complete resolution of the symptoms.

What is the recommended Antibiotic for Child with No Known Allergies?
Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).

The recommended antibiotic is amoxicillin-clavulanate (Leung, Hon & Chu, 2020). Amoxicillin is preferred as an effective antibiotic treatment in sinusitis, there is low resistance and few adverse effects, and Amoxicillin remains one of the most effective treatments.
Amoxicillin-clavulanate
Less than two weeks
* 5 mg/kg orally every 12 hours and 10-14 days of therapy (Drugs. com, 2020).
For children three months (12 weeks) or older and less than 40 kg
* 45 mg/kg/day orally, for every 12 hours and 10-14 days duration of therapy (Drugs. com, 2020).

What is the second line Recommended Antibiotic for Child with allergy to PCN
Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).

 Macrolide or clindamycin are the most recommended when there is penicillin resistance. Second-line therapy also include cefuroxime and cefpodoxime
Clindamycin
30-40 mg/kg/day for 10 days

When is Referral indicated?

The referral is indicated when symptoms persist or progress after medication therapy and if the (CT) scan shows sinus disease.

What additional medications and or treatment strategies are recommended for treatment or symptomatic control

Symptomatic treatment is one option and includes antibiotic treatment to control the symptoms...