What are the AAO-HNSF guidelines for a diagnosis of acute bacterial sinusitis (ABRS)?

Updated: Apr 22, 2020
  • Author: Ted L Tewfik, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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In its 2015 updated clinical practice guidelines for management of adult sinusitis, the AAO-HNSF made a strong recommendations that clinicians should distinguish between acute rhinosinusitis caused by bacterial sources and those episodes caused by viral upper respiratory infections and noninfectious conditions. Symptoms or signs of acute bacterial rhinosinusitis (ABRS) include one of both of the following [14] :

  • Purulent nasal drainage accompanied by nasal obstruction 
  • Facial pain-pressure-fullness

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