Acute bacterial rhinosinusitis
requiring antibiotics is only diagnosed if: Symptoms >10 days and <3 months Severe lasting purulence or fever Worsening of above symptoms ('second sickening') occurs in <10 days 3.
Antimicrobial treatment guidelines for acute bacterial rhinosinusitis
Comment : The benefits of antibiotic therapy in routine management of suspected acute bacterial rhinosinusitis
are questioned by several groups.
Rapid reduction of the symptoms of acute bacterial rhinosinusitis
with therapeutic ultrasound has been observed in the clinic.
About 50% of acute bacterial rhinosinusitis
will resolve without antibiotic therapy Additionally because the infection must be inferred from symptoms and there is usually uncertainty about the causative organism, antibiotic treatment can be inappropriate and/or ineffective.
Data presented at the 42nd Annual Meeting of the Infectious Diseases Society of America (IDSA) showed that in two Phase III clinical trials once-daily FACTIVE(R) (gemifloxacin mesylate) tablets (320 mg) given for five days met the primary endpoints for the treatment of acute bacterial rhinosinusitis
(ABS), including infections due to penicillin-resistant S.
Amoxicillin is the initial drug of choice for both acute otitis media and acute bacterial rhinosinusitis
in children, provided there is no allergy to penicillin.
1-5 The dilemma and diagnostic challenge are therefore to distinguish acute viral rhinosinusitis (AVRS) from acute bacterial rhinosinusitis