[Criteria for the diagnosis and treatment of chronic rhino-sinusitis in family medicine, otorhinolaryngology, and allergy services].
BACKGROUND
Rhinosinusitis is an inflammatory response affecting mucosa membrane of nasal cavity of one or more paranasal sinus. Its prevalence is of 14 and 5-13% in adults and children, respectively. Rhinosinusitis causes high rate of scholar and labor absenteeism.


OBJECTIVE
To know diagnostic and treatment criteria of rhinosinusitis in units of familial medicine, otolaryngology and allergy.


METHODS
A series of 25 patients randomly obtained from familial medicine units 21 and 28 of the IMSS, was studied. Diagnosis was assessed according to 1998 Consensus and computed tomography was considered the gold standard. It was performed to all patients and evaluated by a study-blind radiologist.


RESULTS
Diagnosis of rhinosinusitis was done by familial medicine unit in 68%, otolaryngology service in 40% and allergy service in 64%. Clinical criteria most used were nasal congestion and anterior and posterior nasal discharge. The more requested examination was computed tomography (38.7%) and in 30% of cases, medical treatment was not prescribed.


CONCLUSIONS
Familial physicians, otolaryngologists and allergists use, with low frequency, international criteria for diagnosis and treatment of chronic rhinosinusitis. Otolaryngologists perform other differential diagnosis.
Vázquez Nieto
L
L
Unidad de Medicina Familiar núm. 28, Hospital Gabriel Mancera, IMSS.
Segura Méndez
N H
NH
del Rivero
L
L
Contreras Hernández
R
R
Torres Salazar
A B
AB
Graun Genesias
N
N
Rodríguez Vivas
D M
DM
Gutiérrez
S
S
Guinto
P
P
D000328:Adult; D000486:Allergy and Immunology / Q000706:statistics & numerical data; D018926:Anti-Allergic Agents / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002908:Chronic Disease; D015331:Cohort Studies; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data; D005194:Family Practice / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006748:Hospital Departments / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D010036:Otolaryngology / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011446:Prospective Studies; D012220:Rhinitis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D016037:Single-Blind Method; D012852:Sinusitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data
D018926:Anti-Allergic Agents; D000900:Anti-Bacterial Agents