tetano
Editor, Senior Moderator
Otolaryngol Pol
. 2022 Nov 24;77(1):1-5.
doi: 10.5604/01.3001.0016.1076.
Clinical characteristics of acute rhinosinusitis in COVID-19 a post hoc analysis of a longitudinal study
Zuzanna Steć[SUP] 1 [/SUP], Zofia Burska[SUP] 1 [/SUP], Eliza Brożek-Mądry[SUP] 1 [/SUP], Marcin Straburzyński[SUP] 2 [/SUP], Marta Waliszewska-Prosół[SUP] 3 [/SUP], Antoni Krzeski[SUP] 1 [/SUP]
Affiliations
Abstract
Background: Acute rhinosinusitis (ARS) is a common and well-defined disorder, primarily of viral aetiology, with rhinovirus and coronavirus accounting for more than 50% of viral ARS. The fight with COVID-19 pandemic resulted in an increased availability viral testing, which in turn allowed testing for presence of SARS-Cov-2 in all patients presenting common cold (or ARS) symptoms. The aim of this study was to assess the clinical characteristics of acute rhinosinusitis in patients diagnosed with COVID-19.
Methodology/principal: This study is a post-hoc analysis. Patients symptoms were evaluated using a structured questionnaire twice: directly after a positive SARS-Cov-2 result and 7-12 days following the first evaluation. Subjects were asked about presence of nasal and systemic symptoms as well as headache.
Results: A total of 130 COVID-19 symptomatic patients were recruited into the study, 58 (45%) patients met EPOS2020 diagnostic criteria for ARS. Of all ARS patients, 72% presented with rhinorrhoea, 69% with pain perceived over paranasal sinuses, 62% with nasal congestion, 52% with cough, 45% with olfactory dysfunction, 38% with fever, 33% with facial pressure and in 22% pain was exacerbated by sinus palpation.
Conclusions: Half of COVID-19 subjects has ARS. The course of SARS-Cov-2 ARS does not seem to differ significantly from ARS of other aetiologies. Since ARS in the course of COVID-19 seems to meet the definition of ARS proposed by EPOS 2020, we hypothesize that substances validated for ARS treatment, such as intranasal corticosteroids could be effective in SARS-Cov-2 ARS.
Keywords: COVID-19; sinusitis.
. 2022 Nov 24;77(1):1-5.
doi: 10.5604/01.3001.0016.1076.
Clinical characteristics of acute rhinosinusitis in COVID-19 a post hoc analysis of a longitudinal study
Zuzanna Steć[SUP] 1 [/SUP], Zofia Burska[SUP] 1 [/SUP], Eliza Brożek-Mądry[SUP] 1 [/SUP], Marcin Straburzyński[SUP] 2 [/SUP], Marta Waliszewska-Prosół[SUP] 3 [/SUP], Antoni Krzeski[SUP] 1 [/SUP]
Affiliations
- PMID: 36805512
- DOI: 10.5604/01.3001.0016.1076
Abstract
Background: Acute rhinosinusitis (ARS) is a common and well-defined disorder, primarily of viral aetiology, with rhinovirus and coronavirus accounting for more than 50% of viral ARS. The fight with COVID-19 pandemic resulted in an increased availability viral testing, which in turn allowed testing for presence of SARS-Cov-2 in all patients presenting common cold (or ARS) symptoms. The aim of this study was to assess the clinical characteristics of acute rhinosinusitis in patients diagnosed with COVID-19.
Methodology/principal: This study is a post-hoc analysis. Patients symptoms were evaluated using a structured questionnaire twice: directly after a positive SARS-Cov-2 result and 7-12 days following the first evaluation. Subjects were asked about presence of nasal and systemic symptoms as well as headache.
Results: A total of 130 COVID-19 symptomatic patients were recruited into the study, 58 (45%) patients met EPOS2020 diagnostic criteria for ARS. Of all ARS patients, 72% presented with rhinorrhoea, 69% with pain perceived over paranasal sinuses, 62% with nasal congestion, 52% with cough, 45% with olfactory dysfunction, 38% with fever, 33% with facial pressure and in 22% pain was exacerbated by sinus palpation.
Conclusions: Half of COVID-19 subjects has ARS. The course of SARS-Cov-2 ARS does not seem to differ significantly from ARS of other aetiologies. Since ARS in the course of COVID-19 seems to meet the definition of ARS proposed by EPOS 2020, we hypothesize that substances validated for ARS treatment, such as intranasal corticosteroids could be effective in SARS-Cov-2 ARS.
Keywords: COVID-19; sinusitis.