Sinus Infection Admission Information and Discharge Instructions

What is a sinus infection?

A sinus infection is a bacterial infection of one of the sinuses that normally drain into the nose. If bacteria multiply within a sinus, pain and pressure occur above the eyebrow, behind the eye, or over the cheekbone. Other symptoms can include a lot of yellow nasal discharge, postnasal drip, sinus pain, a blocked nose, fever, and bad breath. A sinus infection may cause a chronic cough. Swallowing sinus secretions is normal and harmless but may lead to some nausea. Most sinus infections can be diagnosed without sinus X-rays.

Why was my child admitted to the hospital?

Main complication ________________________________________.

__ Needs IV antibiotic.

__ Needs IV fluids.

__ Other reasons _________________________________________.

What are the requirements for discharge?

• _______________________________________________________
• _______________________________________________________
• _______________________________________________________

How can I take care of my child?

• Antibiotics

  Your child's antibiotic is ____________________________. Your child's dose is____________, given ______ times a day by mouth during waking hours for ______ days. This medicine will kill bacteria that are causing the sinus infection.

  After discharge from the hospital, it is important to keep taking antibiotics. Try not to forget any of the doses. If your child goes to school or to a baby sitter, arrange for someone to give the afternoon dose. If the medicine is a liquid, use a measuring spoon to make sure that you give the right amount. Even though your child will feel better in a few days, give the antibiotic until the bottle is empty to prevent the infection from flaring up again. Do not save the antibiotic for the next illness because it loses its strength.

• Nasal washes

  Use warm water or saline nosedrops followed by suction or nose blowing to wash dried mucus or pus out of the nose. Do nasal washes at least four times a day or whenever your child can't breathe through the nose. If the air in your home is dry, run a humidifier.

• Decongestant nosedrops or spray

  If the sinus still seems blocked after the nasal washes, use long-acting decongestant nosedrops or sprays. These are nonprescription items. Ask your pharmacist to recommend a brand. The usual dose for teens is 2 drops or sprays per side, twice a day. For children over age 6 use 1 drop or spray.

  Before you use nosedrops or a spray, your child should clear his nose by sniffing or nasal suction. The openings to the sinuses are on the outer side of the nasal passages. Point the nasal spray in this direction. To deliver nosedrops to the sinuses, put them in while your child is lying on a bed with his head tipped back and turned to one side.

  Use nosedrops or a spray for the first 2 or 3 days of treatment. Then don't use them again unless the sinus congestion or pain recurs. The drops or spray must be stopped after 5 days to prevent rebound swelling.

• Pain-relief medicines

  Your child can take acetaminophen or ibuprofen for a few days for sinus pain or any fever over 102°F (39°C).

• Oral antihistamines

  If your child also has hay fever, he or she should take allergy medicine (antihistamine). Otherwise avoid using antihistamines because they can slow down the movement of secretions out of the sinuses.

• Contagiousness

  Sinus infections are not contagious. Your child can return to school or day care when he or she is feeling better and the fever is gone.

• Other medicines

  For pain or fever over 102°F (39°C) give _________________________

  _________________________________________________________

  _________________________________________________________

• Additional instructions

  _________________________________________________________

  _________________________________________________________

When does my child need to be seen again?

___ Your child needs to be rechecked and has an appointment on _____________ at _______ with _________________________.

___ Your child needs to be rechecked in ________ days. Call your child's doctor to make an appointment.

___ A follow-up appointment is not necessary. Call your doctor if you have any concerns.

When should I call my child's healthcare provider?

Call IMMEDIATELY if:

• Redness or swelling occurs on the cheek, eyelid, or forehead.
• The fever returns.
• Your child starts acting very sick.

Call during office hours if:

• You have other questions or concerns.

Written by B.D. Schmitt, MD and Robert Brayden, MD.
Published by RelayHealth.
© 2009 RelayHealth and/or its affiliates. All Rights Reserved.