AAO-HNSF Clinical Practice Guideline: Adult Sinusitis
Clinical Practice Guideline
Keyword(s)
cpgs, Sinusitis
The
purpose of this multidisciplinary guideline is to identify quality
improvement opportunities in managing adult rhinosinusitis and to create
explicit and actionable recommendations to implement these
opportunities in clinical practice. Specifically, the goals are to
improve diagnostic accuracy for adult rhinosinusitis, promote judicious
use of systemic and topical therapy, and promote appropriate use of
ancillary tests to confirm diagnosis and guide management, which include
radiography, nasal endoscopy, computed tomography, and testing for
allergy and immune function. Emphasis was also placed on identifying
multiple chronic conditions that would modify management of
rhinosinusitis, including asthma, cystic fibrosis, immunocompromised
state, and ciliary dyskinesia. The guideline is intended for all
clinicians who are likely to diagnose and manage adults with
rhinosinusitis and applies to any setting in which an adult with
rhinosinusitis would be identified, monitored, or managed. This
guideline, however, does not apply to patients younger than 18 years or
to patients of any age with complicated rhinosinusitis.