Awareness Among Primary Care Physicians Regarding the Alarm Symptoms and Signs of Rhinosinusitis

Yahya A Fageeh; Muteb S Alsuwat; Yazeed A Almansouri; Abdulrahman H Alsuwatt; Faisal T Almalki; Abdullah A Al Shehri

doi:10.7759/cureus.46114

Awareness Among Primary Care Physicians Regarding the Alarm Symptoms and Signs of Rhinosinusitis

Cureus. 2023 Sep 28;15(9):e46114. doi: 10.7759/cureus.46114. eCollection 2023 Sep.

Authors

Yahya A Fageeh¹, Muteb S Alsuwat², Yazeed A Almansouri², Abdulrahman H Alsuwatt³, Faisal T Almalki³, Abdullah A Al Shehri²

Affiliations

¹ Otolaryngology - Head and Neck Surgery, College of Medicine, Taif University, Taif, SAU.
² Medical School, College of Medicine, Taif University, Taif, SAU.
³ General Practice, College of Medicine, Taif University, Taif, SAU.

Abstract

Background Rhinosinusitis is a common condition. Primary care physicians (PCPs) play a vital role in diagnosing and managing rhinosinusitis, including identifying alarm symptoms and signs. However, limited research exists on PCPs' awareness of these alarm symptoms. Objectives This study aimed to assess the awareness of PCPs in Saudi Arabia regarding the alarm symptoms and signs of rhinosinusitis and identify knowledge gaps. Methodology A descriptive cross-sectional study was conducted among 153 PCPs in Taif, Saudi Arabia. An online questionnaire covering demographic data and multiple-choice questions on alarm symptoms and signs of rhinosinusitis was administered. Knowledge level was assessed based on the score of the responses to knowledge items. Data analysis was performed using IBM SPSS software (IBM Corp., Armonk, NY). Results The study revealed a low awareness of alarm symptoms and signs of rhinosinusitis among PCPs. Knowledge gaps were observed in recognizing symptoms and appropriate referral pathways. Participants showed inadequate awareness of severe headaches, frontal swelling, anosmia, cacosmia, and nasal bleeding or crustation as alarm symptoms. The average knowledge score was 4.57 ± 1.91 out of 10. Conclusion The study highlights the need to improve PCP awareness of alarm symptoms and signs of rhinosinusitis in Saudi Arabia. Educational programs should be developed to address knowledge gaps and enhance understanding of guidelines, facilitating early identification and referral of severe cases and improving patient outcomes.

Keywords: acute rhinosinusitis; chronic rhinosinusitis; fungal rhinosinusitis; general practitioners; intracranial complications; orbital complications; primary healthcare.