Acute Rhinosinusitis Severity (EPOS Criteria)
Classifies acute rhinosinusitis severity and guides antibiotic prescribing based on EPOS 2020 guidelines.
Score interpretation
→ Symptomatic treatment: saline irrigation, decongestants, analgesia; no antibiotics; review if not improving in 10 days
→ Consider antibiotics if no improvement after 5 days of post-viral: amoxicillin 500mg TDS 5 days; intranasal corticosteroids; ENT referral if recurrent
→ IV antibiotics; urgent ENT; CT sinuses; assess for orbital/intracranial complications; consider hospital admission
Interpretation bands for the Rhinosinusitis Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Morphine (Orthopaedic Acute Pain) · Opioid Analgesic — Strong
- Dexketoprofen (Acute Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor (S-enantiomer of Ketoprofen)
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.