Acute Sinusitis (Outpatient)
Fever ≥102ºF or facial pain/pressure/tenderness, AND
Purulent (e.g. green, yellow) nasal drainage
Nasal drainage and daytime cough
1) Chow AW, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis 2012;54: e72-e112.
2) Rosenfeld RM, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg 2015; 152: S1-S39.
3) Lemiengre MB, et al. Antibiotics for clinically diagnosed acute rhinosinusitis in adults. Cochrane Database Syst Rev 2012;10:CD006089.
4) Young J, et al. Antibiotics for adults with clinically diagnosed acute rhinosinusitis: a meta-analysis of individual patient data. Lancet 2008; 371: 908-914.
5) Falagas ME, et al. Comparison of antibiotics with placebo for treatment of acute sinusitis: a meta-analysis of randomised controlled trials. Lancet 2008; 8: 543-552.
6) FDA updates warnings for fluoroquinolone antibiotics. U.S. Food and Drug Administration. Released 26 July 2016. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm513183.htm
Endorsed by the Midlands Ambulatory Antimicrobial Initiative on December 5, 2017