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In cases of suspected acute bacterial sinusitis, diagnostic certainty increases from 50% to 90% focusing on a specific handful of clinical clues, Dr. Morten Lindbaek said during WONCA 2001, the conference of the World Organization of Family Doctors.
This approach may reduce the widespread overuse of antibiotics in patients with suspected acute bacterial sinusitis.
To zero in on clinical tip-offs that are useful in identifying patients with bacterial sinusitis, Dr. Lindbaek of the University of Oslo analyzed data from four published studies.
The studies involved 1,063 patients who had clinically suspected acute sinusitis and were seen in primary care settings. Each study featured an objective reference standard to confirm the diagnosis.
Four factors were associated with a confirmed diagnosis of acute purulent sinusitis and seem particularly ...
Source: HighBeam Research, Pinpointing Bacterial Sinusitis.