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Antibiotics for Sinusitis: Are They Really Necessary?
Published: Jul 06, 2024
Antibiotics are often prescribed for sinusitis, but when are they truly necessary? Let's find out.
When to Use Antibiotics
Antibiotics are prescribed for acute bacterial rhinosinusitis (ABRS) when symptoms persist or worsen. They help shorten the duration of the illness, but overuse can lead to side effects and resistance. Careful diagnosis is key to avoid unnecessary antibiotic use.
Choosing the Right Antibiotic
Amoxicillin or amoxicillin-clavulanate is typically the first choice for treating ABRS. For those with penicillin allergies, alternatives like doxycycline or certain cephalosporins are considered. The choice depends on the patient's medical history and potential resistance factors.
Risks and Benefits
While antibiotics can be effective, they also carry risks like adverse side effects. Meta-analyses show that antibiotics can improve symptoms, but the benefits should outweigh the risks. It's crucial to monitor for complications that require urgent care.
Frequently Asked Questions
Needed if sinusitis symptoms persist or worsen.
Amoxicillin and amoxicillin-clavulanate are common choices.
Alternatives like doxycycline or cephalosporins can be used.
Yes, they can have adverse effects and should be used wisely.
Key Takeaways
Antibiotics are a powerful tool but should be reserved for cases where they are truly needed.
References
- Chow AW, Benninger MS, Brook I, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis 2012; 54:e72.
- Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg 2015; 152:S1.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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