Подходы к ведению ребенка с острым риносинуситом: взгляд педиатра

Abstract

Acute rhinosinusitis (ARS) is common in children and most often occurs in upper respirato-ry tract infections. Meanwhile, a disease duration of more than 7–10 days suggests a bacterial infec-tion and requires a change in the treatment approach to sinusitis. Any local condition preventing normal sinus drainage (i.e., inflammation) predisposes the patient to infection. ARS diagnosis is difficult because of the overlap between its clinical manifestations and symptoms of other common diseases, strong dependence on the subjective perception of symptoms by parents, and difficulties in physical examination of the child. The disease history, nature of symptoms, and duration are the basis for establishing a clinical diagnosis. In most patients, ARS resolves spontaneously, and in an uncomplicated course, antibiotics are not indicated. Intranasal steroids, irrigations, decongestants, and mucolytics are used as adjuvant therapy. However, data supporting the efficacy of these adju-vant therapies in children are scarce, and no strong formal recommendations on their use are avail-able. This paper discusses the key issues of ARS diagnosis and management in pediatric practice. KEYWORDS: acute rhinosinusitis, ARS, children, diagnosis, treatment, decongestants, acetyl-cysteine, tuaminoheptane sulfate. FOR CITATION: Kolosova N.G., Shatalina S.I. Management approach to acute rhinosinusitis: a pediatrician's perspective. Russian Medical Inquiry. 2023;7(8):537–542 (in Russ.). DOI: 10.32364/2587-6821-2023-7-8-11.