Pediatric acute bacterial sinusitis

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	Pediatric Client with Acute Bacterial Sinusitis
List the clinical criteria that must be present to support this diagnosis in pediatric patients from newborn to 21 years of age. Categorize clinical signs and symptoms by: Persistent Symptoms, Severe Onset, or Worsening Symptoms.	List Criteria for Persistent Symptoms.	List Criteria for Severe Onset of Symptoms.	List Criteria for Worsening Symptoms.
When would imaging studies be indicated?
What is the recommended Antibiotic for Child with No Known Allergies? Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).
What is the second line Recommended Antibiotic for Child with allergy to PCN Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).
When is Referral indicated?
What additional medications and or treatment strategies are recommended for treatment or symptomatic control
What is the treatment change in a child with worsening symptoms at 72 hours after initiation of antibiotic
When is outpatient 72 hour “observation” acceptable?
What modifications would be needed for the following children: Four year old who is otherwise healthy
Child with immune deficiency
Child with two prior sinus infections
Child with cystic fibrosis
What other conditions would modify these treatment recommendations?

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