Antibiotics have been the most common intervention for both acute and chronic sinusitis, and when antibiotics are prescribed for acute bacterial rhinosinusitis
, amoxicillin has been recommended as the first choice (Rosenfeld et al 2007a).
Acute bacterial rhinosinusitis
is more probable if the symptoms persist for 10 days or more, or if they worsen 5-7 days after onset, sometimes after brief improvement.
Approximately 20 million cases of acute bacterial rhinosinusitis
(ABRS) occur annually in the United States.
Otolaryngologists have noted that the chronic form of rhinosinusitis (CRS) is too often diagnosed and treated with an approach that is appropriate only for acute bacterial rhinosinusitis
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.
Centers for Disease Control and Prevention (CDC) guidelines for the diagnosis of acute bacterial rhinosinusitis
include symptoms that last 7 days or more, with maxillary pain or tenderness in the face or teeth and purulent nasal secretions.
TORONTO -- Knowing when and what type of antibiotics to use is the key to treating acute bacterial rhinosinusitis
The Centers for Disease Control and Prevention recommend reserving antibiotic treatment of acute bacterial rhinosinusitis
for patients with symptoms lasting longer than 7 days and patients who have unilateral symptoms with purulent nasal discharge.
WASHINGTON -- The first comprehensive guidelines for antimicrobial treatment of acute bacterial rhinosinusitis
recommend limiting the use of antibiotics and prescribing them selectively when needed.
 Interpreting and synthesizing treatment recommendations developed by specialty medical societies for primary care practitioners, Specialty medical societies have developed treatment guidelines to help guide clinicians in the care of patients with specific RTIs, including acute bacterial rhinosinusitis
, acute exacerbation of chronic bronchitis, and community-acquired pneumonia.