Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient care.
It is applicable to specialists, primary care, and providers at all levels. is Guideline should not be
considered exclusive of other methods of care reasonably directed at obtaining the same results. e
ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer
consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated with
the distributor of this clinical reference tool.
Abbreviations
ABRS, acute bacterial rhinosinusitis; ARS, acute rhinosinusitis; CRS, chronic rhinosinusitis;
KAS, key action statement; RS, rhinosinusitis; Rx; prescription, URI, upper respiratory
infection; VRS, viral rhinosinusitis; w, week(s)
Source
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline: adult sinusitis
(update). Otolaryngol Head Neck Surg. 2015; 152(4): S1-S39.
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AAOHNSSIN15033c
Evidence Quality and Recommendation Grades
a
Evidence Quality for: Recommendation
Treatment and Harm Diagnosis Strength
A High-quality RCTs Systematic review of
consistent cross-sectional
studies
S Strong
recommendation
B Consistent RCTs Consistent individual
cross-sectional studies
R Recommendation
C Observational studies Nonconsecutive studies,
case-control studies, or
other studies of poor
quality
O Option
D Case reports, consensus opinions
X Exceptional situations with clear benefit
a
See full text guidelines for details.
