referral criteria from primary care - perennial rhinitis

Last edited 02/2022

Perennial symptoms that are severe and resistant to treatment (when combination treatment at maximum doses has been attempted for at least 3 months) (1).

Referral should also be considered in cases of:

  • unilateral nasal symptoms
  • nasal perforation, ulceration or collapse
  • serosangionous discharge
  • high nasal cavity crusting
  • recurrent cellulitis
  • caution: urgent referral required for periorbital cellulitis


  1. (accessed 05 December 2021).