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Current Allergy and Asthma Reports
Published in: Current Allergy and Asthma Reports 7/2020

01-07-2020 | Rhinosinusitis | Rhinosinusitis (J Mullol, Section Editor)

Common Cold and Acute Rhinosinusitis: Up-to-Date Management in 2020

Authors: Francesca Jaume, Meritxell Valls-Mateus, Joaquim Mullol

Published in: Current Allergy and Asthma Reports | Issue 7/2020

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Abstract

Purpose of Review

The purposes of the review are as follows: (1) to define acute rhinosinusitis (ARS) and their phenotypes, (2) to highlight the ARS management according to international guidelines, (3) to compare the physicians’ management with the ARS guideline recommendations, and (4) to report ARS socioeconomic burden.

Recent Findings

Bacterial and non-bacterial ARS have similar symptoms, although they can be discriminated by using a combination of specific signs and symptoms. The prescription of antibiotics should be limited to clearly suspected bacterial ARS. There is an overuse of diagnosis tools and treatment prescriptions. The total cost per ARS episode in Europe is over €1000.

Summary

ARS is mainly an inflammatory disease triggered by viral infection, and few cases end up developing bacterial infection. In most of the cases, it is a self-resolving disease which diagnosis is mainly clinical and the treatment symptomatic. The incidence of complications is low and independent of antibiotic use. There is a high socioeconomic burden associated to ARS.
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Metadata
Title
Common Cold and Acute Rhinosinusitis: Up-to-Date Management in 2020
Authors
Francesca Jaume
Meritxell Valls-Mateus
Joaquim Mullol
Publication date
01-07-2020
Publisher
Springer US
Published in
Current Allergy and Asthma Reports / Issue 7/2020
Print ISSN: 1529-7322
Electronic ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-020-00917-5

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