PMID: 9529461Apr 8, 1998Paper

Prevalence of clinical sinusitis in young children followed up by primary care pediatricians

Archives of Pediatrics & Adolescent Medicine
M Aitken, J A Taylor

Abstract

To determine the proportion of young children seen in primary care pediatric practices who meet clinical criteria for the diagnosis of sinusitis, and variations in the management of these patients' conditions. Observational cohort study. Pediatric practices in the Seattle, Wash, area participating in the Puget Sound Pediatric Research Network, a regional practice-based research organization. Children, 1 to 5 years old, presenting for any reason to participating practices. Parents of all 1307 eligible children completed a survey specifically detailing the presence of nasal congestion or discharge and daytime cough, the duration of these symptoms, and whether the symptoms were improving. For patients meeting clinical criteria for sinusitis (nasal congestion and daytime cough persisting for > 9 days without improvement), the pediatrician recorded the presence/severity of other signs and symptoms, and the treatment prescribed. Severity of symptoms was reassessed using telephone interviews with parents at 48 to 72 hours, and again at 10 to 14 days, after the office visit. Study data were collected during 1-week to 3-week blocks at each office site during the winter months. Data were collected on 1307 children; 121 had persistent res...Continue Reading

Citations

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