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Diagnosis
Review: diagnostic tests for bacterial rhinosinusitis have moderate accuracy; antibiotics reduce clinical failures

https://doi.org/10.1136/ebm.5.4.125

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    . Lau J, Zucker D, Engels EA, et al. Diagnosis and treatment of acute bacterial rhinosinusitis. Rockville, MD: Agency for Health Care Policy and Research; March 1999. AHCPR publication no. 99-E016. http://www.ahcpr.gov/clinic/sinussum.htm..

    
 
 QUESTION: In symptomatic patients in primary care settings, what are the most effective diagnostic tests, antibiotics, and ancillary treatments for bacterial rhinosinusitis (paranasal sinus bacterial infection with symptoms for ≤4 wks)?

    Data sources

    Studies were identified by searching Medline (1966 to May 1998) with the terms sinusitis and sinus with upper respir: and infect: (using various endings) and EMBASE/Excerpta Medica; scanning lists of conference abstracts and bibliographies of relevant articles and studies; and contacting experts.

    Study selection

    All studies included adults or children who had had symptoms for ≤4 weeks. Diagnostic studies were selected if they compared the results of ≥2 tests, including clinical criteria, radiographs, ultrasonography, or sinus puncture. Randomised controlled trials were selected if they compared antibiotics with placebo or compared ≥2 antibiotics. …

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