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Ambulatory Guideline: Acute Rhinosinusitis in Adults

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Step Status
Educational Materials
Release Date: Sat, 1/1/22
Termination Date: Fri, 9/30/22
Credits: 1
Description: Rhinosinusitis is common and accounts for up to 5% of visits to primary care physicians. However, studies indicate that it is not always accurately diagnosed and that adequate trials of antibiotic therapy may not occur for bacterial rhinosinusitis. This self-study activity provides practical guidance to primary care clinicians concerning key aspects of care for rhinosinusitis and implementing that care into practice.
Key aspects of care include:
  • Diagnosis, including how to estimate the probability of acute bacterial rhinosinusitis
  • Treatment decisions regarding prescribing antibiotic and ancillary therapies
  • Antibiotic selection
  • Effective radiological imaging
  • Appropriate subspecialist consultation

The 2011 update of the guideline includes:
  • Estimate the probability of acute bacterial sinusitis expanded to include symptom duration
  • Updated antibiotic choices grouped into first line, alternative first line, and second line
  • Updated information on options and effectiveness of adjuvant therapies
Educational Objectives: Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for the diagnosis and treatment of acute rhinosinusitis in adults.
Target Audience: This self-study activity is appropriate for primary care clinicians and other health care providers involved in the diagnosis and treatment of acute bacterial rhinosinusitis in adults.
Accreditation and Credit Designation: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Original Release Date: July 2011
Termination Date: September 2022

Continued availability of CME credit for this activity depends on a thorough review of its content every three years. This activity was last reviewed for currency and accuracy in September 2019, and availability of CME credit continued.
Additional Info: Authors:
Eric P. Skye, MD; Family Medicine
R. Van Harrison, PhD; Medical Education
Jeffrey E. Terrell, MD; Otolaryngology
Denise H. Zao, MD; Family Medicine

Financial Disclosure Information:
Jeffrey E. Terrell, MD
Shareholder: Xoran

There are no other relevant financial relationships to disclose for this CME activity.

UMHS Guidelines Oversight Team:
Karl T. Rew, MD
R. Van Harrison, PhD

Literature Search Services:
Taubman Medical Library

Credits available:

AMA PRA Category 1: 1.00
Participation: 1.00