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NEW ALLERGY GUIDELINE FOR THE SECONDARY CARE OF PATIENTS WITH RHINO-SINUSITIS AND NASAL POLYPOSIS


The British Society for Allergy and Clinical Immunology has prepared new guidelines for the management of rhino-sinusitis and nasal polyposis for practising physicians in secondary care. Sinusitis is common, affecting around 15% of the population, can be difficult to treat and causes significant reduction in quality of life. Chronic sinusitis often presents with chronic ill health, nasal congestion and purulent discharge with constant pressure in the face and other parts of the head. Sinusitis is now termed rhinosinusitis since in the vast majority of patients the problem originates in the nose.

Included in the guideline are: clinical classification of Rhino-sinusitis, diagnosis, investigations, aetiology and treatment guidance with a section on children. Guidance is also given for nasal polyps, allergic fungal rhinosinusitis, fungal rhinosinusitis, aspirin-sensitive nasal polyposis and Churg-Strauss syndrome. The guideline is based on evidence, as well as on expert opinion and the recommendations are evidence graded.

Dr Shuaib Nasser, Chair of the BSACI, Standards of Care Committee and responsible for preparation of the guideline said, "The guideline for the management of rhino-sinusitis and nasal polyposis is for the benefit of adult physicians and paediatricians practising allergy and should also be invaluable for ENT surgeons." This is a new guideline on rhinosinusitis and nasal polyposis produced by the BSACI Standards of Care Committee in consultation with BSACI members and complements the rhinitis management guideline published in the January issue of the Journal, Clinical and Experimental Allergy.

The guideline will be published in the February, 2008 issue of Clinical and Experimental Allergy, 38:2; 260-275 and will also be available on the BSACI website (www.bsaci.org)



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Royal College of Physicians

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