Guidelines
Acute Sinusitis (Outpatient)

Acute Sinusitis (Outpatient)

Select Severity

  • Fever ≥102ºF or facial pain/pressure/tenderness, AND
  • Purulent (e.g. green, yellow) nasal drainage

Notes

More Information

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