John Malaty
University of Florida, USA
Title: Chronic rhinosinusitis: Evaluation and management in primary care
Biography
Biography: John Malaty
Abstract
Chronic Rhinosinusitis can be refractory and significantly impact loss of work productivity, work absence, disease-specific quality of life measures and annual health care costs. It is not felt to simply be an infectious problem and various inflammatory pathways and host factors play an important role in addition to biofilms. Medical management should be tailored to the specific comorbidities and concerns of an individual patient, while treating acute exacerbations with amoxicillin-clavulanate; second or third generation cephalosporins or fluoroquinolones. Treatment of nasal polyposis is important when present; and treatment of additionally targeting pertinent pathophysiology in asthma and cystic fibrosis improve treatment efficacy. In
this presentation, I will discuss how to evaluate and effectively treat causes of chronic sinusitis in the primary care setting, in addition, discussing when to refer these patients for specialty care.