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Clinical severity score for acute bacterial rhinosinusitis in children and adolescents

Clinical severity score for acute bacterial rhinosinusitis in children and adolescents
Symptom or sign Points
Abnormal nasal or postnasal discharge
Minimal 1
Severe 2
Nasal congestion 1
Cough 2
Malodorous breath 1
Facial tenderness 3
Erythematous nasal mucosa 1
Fever*
<38.5°C 1
≥38.5°C 2
Headache (retro-orbital)/irritability
Severe 3
Mild 1
A total score <8 indicates mild/moderate disease. A total score ≥8 indicates severe disease.
* Within 24 hours of presentation, either observed or according to history and documented with thermometer.
Reproduced with permission from Pediatrics, Vol. 124, Pages 9-15, Copyright © 2009 by the AAP.
Graphic 83453 Version 16.0