علاج التهاب الجيوب الأنفية البكتيري الحاد مع فرط حساسية البنسلين المؤكد من النوع الأول

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).
• When type-1 penicillin hypersensitivity is confirmed, doxycycline (100 mg or 200 mg PO bid) is recommended as an alternative agent for empiric antimicrobial therapy.
• 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.