علاج التهاب الجيوب الأنفية البكتيري الحاد غير المعقد مع الإفراز الأنفي القيحي (بدون حساسية البنسلين)

References

DOI: 10.1002/ohn.1344

• A clinician should diagnose ABRS when (a) symptoms or signs of acute rhinosinusitis (purulent nasal drainage accompanied by nasal obstruction, facial pain-pressure-fullness, or both) persist without evidence of improvement for at least 10 days beyond the onset of upper respiratory symptoms, or (b) symptoms or signs of acute rhinosinusitis worsen within 10 days after an initial improvement (double worsening).
• Uncomplicated rhinosinusitis is defined as rhinosinusitis without clinically evident extension of inflammation outside the paranasal sinuses and nasal cavity at the time of diagnosis (e.g., no neurologic, ophthalmologic, or soft tissue involvement).
• If a decision is made to treat ABRS with an antibiotic agent, the clinician should prescribe amoxicillin with or without clavulanate as first-line therapy for 5-7 days for most adults.
• The purpose of this statement is to emphasize that signs and symptoms of presumed ABRS should generally improve within 3 to 5 days after initiating antibiotic therapy.