Acute Rhinosinusitis

  1. Sinusitis is a clinical diagnosis. Patients typically present with purulent nasal discharge and facial pain or other URI symptoms.
  2. The vast majority of patients with acute rhino sinusitis will be viral in nature and will not benefit from antibiotics
  3. Patients with prolonged symptoms, more than 7-10 days, without improvement or continued fevers past 2-3 days should be considered for antibiotic treatment as should those who are immunocompromised.

 

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