Module 9 Part 2 Sinusitis – ChildrenAcute

Question 1

Are antibiotics recommended for viral sinusitis in children?

Answer 1

No, antibiotics are not needed for viral sinusitis in children.

Question 2

Which bacteria are commonly associated with bacterial sinusitis in children?

Answer 2

Common bacteria include Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.

Question 3

What is the first-line antibiotic for acute bacterial sinusitis in children, and at what dosage?

Answer 3

First-line: Amoxicillin at 580 mg/kg/day divided twice a day or three times a day (Maximum: 3 g/day).

Question 4

What are the second-line antibiotic choices, and how are they dosed for children?

Answer 4

Second-line options include Amoxicillin/Clavulanate (dosage determined by amoxicillin dosage) and Cefprozil (30 mg/kg/day divided twice a day).

Question 5

When should intranasal steroids be considered in children with sinusitis?

Answer 5

Intranasal steroids can be considered as they have been found to modestly reduce symptoms in children with sinusitis.

Question 6

Why might higher doses of amoxicillin be recommended for some children with sinusitis?

Answer 6

Higher doses may be recommended to combat antibiotic-resistant Streptococcus pneumoniae. Dosing depends on age, risk factors, and local resistance patterns.