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Treatment for acute bacterial sinusitis

Answer

The treatment for acute bacterial sinusitis (ABS) involves a combination of antibiotic therapy and symptomatic treatment.

Antibiotic therapy

Symptomatic treatment

A randomized clinical trial suggested that high-dose amoxicillin plus clavulanate did not appear to provide additional benefit compared to standard-dose amoxicillin plus clavulanate in adults treated for clinically diagnosed acute sinusitis
9
Abstract

9.

High-dose vs standard-dose amoxicillin plus clavulanate for adults with acute sinusitis: a randomized clinical trial

PubMed
High-impact
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In conclusion, the treatment of ABS involves a combination of antibiotic therapy, primarily with amoxicillin/clavulanate, and symptomatic treatment. The choice of antibiotic may be adjusted based on patient allergies and local resistance patterns. The duration of therapy is typically 5–7 days for uncomplicated cases. High-dose amoxicillin plus clavulanate does not appear to provide additional benefit over standard-dose therapy.

References

1

Acute bacterial rhinosinusitis

Medical management

Guidelines

Antibiotic therapy, first-line

Pathway
IDSA 2012