Dept of Pediatrics, Hassan institute of medical sciences, Hassan, Karnataka
Online published on 27 May, 2015.
The objectives of the study was to know the prevalence of sinusitis among children aged 3 yrs to 15 yrs who had persistent acute or RRTS.
All children aged 3yrs to 15 yrs who came to hospital with persistent acute or RRTS were subjected to x-ray PNS irrespective of whether they were clinically suspected (according to accepted criteria) or clinically unsuspected to have sinusitis. X-ray PNS was used as a confirmatory diagnostic test. This data was analysed and statistical significance was obtained with chi square test.
Out of total 75 cases, PAURTS constituted 18 cases, i,e 24% and RRTS 57 cases i,e 76%.
Out of 50 clinically suspected sinusitis, x-ray PNS was positive in 42 cases i,e 84%.
Out of 25 clinically unsuspected sinusitis, x-ray PNS was positive in 15 cases i,e 60%.
Among the 18 PAURTS cases, 12 were clinically suspected sinusitis out of which 10 were x-ray PNS positive, i,e 83% and out of 6 clinically unsuspected sinusitis 5 were x-ray PNS positive i,e 83%.
Among the 57 RRTS, 38 were clinically suspected sinusitis of which 32 were x-ray PNS positive, i,e 84% and 19 were clinically unsuspected sinusitis of which 10 were x-ray PNS positive, i,e 52%.
Among children with PAURTS and RRTS, prevalence of sinusitis is high and it is always prudent to r/o sinusitis in such cases. The accuracy of diagnosing sinusitis is high when xray PNS is used along with clinical suspicion of the same.
PAURTS = Persistent acute upper respiratory tract symptoms, RRTS = Recurrent respiratory tract symptoms, SINUSITIS
