According to the AAAAI, what should be the basis for antibiotic selection in the treatment of acute sinusitis (sinus infection)?

Updated: Mar 01, 2018
  • Author: Itzhak Brook, MD, MSc; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Antimicrobial therapy is the mainstay of medical treatment in sinusitis. Choice of antibiotic depends on whether the sinusitis is acute, chronic, or recurrent. The AAAAI 2005 practice parameter states that choice of antibiotic should be based on predicted effectiveness, cost, and side effects. [2]

In clinically diagnosed acute sinusitis, little evidence from randomized, controlled trials supports the use of antibiotics for the treatment of acute sinusitis. [15] Antibiotics have, however, been shown to have a role in the treatment of acute maxillary sinusitis that is diagnosed radiologically or bacteriologically.


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