UMEM Educational Pearls

Category: ENT

Title: Sinusitis

Keywords: Sinusitis, Antibiotics, Viral, URI (PubMed Search)

Posted: 9/29/2007 by Michael Bond, MD (Updated: 9/22/2019)
Click here to contact Michael Bond, MD

How many times a day are you told "I need antibiotics I coughed up some yellow/green stuff" Neither the color nor the consistency of nasal secretions helps to predict whether there is a bacterial infection. One should only consider treating sinus infections with antibiotics if the patient has:
  1. Purulent nasal drainage for more than 10 days
  2. Or if symptoms less than 10 days and one or more of the following significant facial pain, facial/periorbital swelling, dental pain, or temperature greater than 39'C
Antibiotic of first choice is Amoxicillin for 10-14 days. [Also consider Bactrim, Augmentin or Cipro for recurrent sinus infections]