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By Siyad A. R


Sinusitis is the fifth common diagnosis for which an anti biotic is prescribed and about $ 2 billion is spent annually on medications to treat nasal and sinus problems. Diagnosis and treating sinusitis is therefore being very important.Acute bacterial sinusitis usually occurs following an upper respiratory infection that result in the obstruction of the osteomeatal complex, impaired mucociliary clearance and production of secretions ( L.J.Fajan et al,1989.) Acute sinusitis is a common illness in primary care.Studies have demonstrated the difficulty of making the differential diagnosis of acute purulent sinusitis based on clinical evaluations alone. This leads to a significant overuse of antibiotics, which in turn may contribute to increase bacterial resistance. (Morten Lindback. et al., 2002). Sinus disease is inherently associated with viral upper respiratory tract infections and occurs in 90 % of individuals with common cold. Although the diagnosis of acute bacterial sinusitis is usually based on physical findings, no one sign or symptom is either sensitive or specific for sinusitis. The predictive power can be significantly improved when all signs and symptoms is either sensitive or specific for sinusitis. (Martin Desrosiers. et al., 2002)There is solid evidence that a positive association between nasal allergy and acute or chronic sinusitis in both adult and children. (Shin- Wen Huang. et al., 2006. Acute sinusitis frequently follows upper respiratory tract infections. Sinusitis or an inflammation of one or more of the para nasal sinuses, affects approximately 16 % of U

Year: 2009
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