Affiliations: Division of Infectious Diseases, Department of
Pediatrics, Ochsner Children's Health Center and Tulane University School of
Medicine, New Orleans, LA, USA
Note: [] Correspondence: Russell W. Steele, M.D., Ochsner Clinic
Foundation, 1514 Jefferson Highway, New Orleans, LA 70121, USA. Tel.: +1 504
842 5153; E-mail: RWSteele@aol.com
Abstract: Clinical practice guidelines for the management of acute sinusitis
in children have been published by the American Academy of Pediatrics. Of note
is that in this document, a brief discussion of chronic disease concluded that
the bacterial pathogens causing disease, pathogenesis and management are
essentially unknown. Although there are insufficient data in the literature to
develop evidence-based clinical guidelines, a careful review of the literature
and clinical experience of experts who manage pediatric chronic sinusitis is
presented in an effort to develop specific recommendations and to offer
practical treatment options. It is apparent that anaerobic bacteria play a
major role in this infection thereby influencing the natural history of disease
and directing, to a great degree, medical management.
