This pre-referral guideline covers Sinusitis in children of all ages.

Initial work-up

• Physical examination consistent with sinusitis.
• X-rays of the paranasal sinuses if symptoms are persistent.

Pre-referral treatment

• 3-6 weeks of broad-spectrum oral antibiotics.
• Nasal steroids for 6 weeks.
• Nasal irrigation with antibiotic solution for 6 weeks.

When to refer

• Persistent symptoms despite 6 weeks of appropriate treatment- refer to Medical ENT.
• Wherein sinusitis is persistent and exacerbates asthma symptoms.
• Bring documentation of clinical course, treatment to date and response to treatment.

Referral form (pdf)

Parent handout (pdf)

Resources

Kids Connect (RCH Primary Care Liaison)

Kids Health Info (Parent fact sheets online)

Contact information

References

Paediatric Handbook Ear, Nose and Throat Conditions, Chapter 21 (pp312-324); Robert Berkowitz and Michael Marks; Seventh Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia