What is the best antibiotic for acute sinusitis?

Amoxicillin is considered the first-line antibiotic for most patients with acute bacterial rhinosinusitis. Trimethoprim/sulfamethoxazole (Bactrim, Septra) and macrolide antibiotics are reasonable alternatives to amoxicillin for treating acute bacterial rhinosinusitis in patients who are allergic to penicillin.

Which antibiotics treat sinusitis?

What are the most common antibiotics used for sinusitis?

• Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis.
• Azithromycin is an alternative treatment for patients who are allergic to amoxicillin.

What are the three most common bacterial causes of acute sinusitis?

The most common causes of acute bacterial rhinosinusitis (ABRS) are Streptococcus pneumoniae (38%), Haemophilus influenzae (36%), and Moraxella catarrhalis (16%).

What are the symptoms of acute bacterial sinusitis?

What are the symptoms of acute bacterial rhinosinusitis?

• Face pain or pressure that’s worse when leaning forward.
• Postnasal drip.
• Nasal congestion.
• Pain in your upper jaw.
• Toothache in your upper jaw.
• Yellow or greenish discharge from your nose.
• Fever.
• Cough.

What is the most common complication of acute sinusitis?

Orbital complications are the most common complications encountered with acute bacterial sinusitis. Infection can spread directly through the thin bone separating the ethmoid or frontal sinuses from the orbit or by thrombophlebitis of the ethmoid veins.

How is acute viral sinusitis treated?

Most cases of acute sinusitis can be treated at home:

1. A moist, warm washcloth. Hold it over your sinuses to ease pain symptoms.
2. A humidifier.
3. Saline nasal sprays.
4. Stay hydrated.
5. Over-the-counter (OTC) nasal corticosteroid spray.
6. OTC oral decongestant therapy.
7. OTC pain relievers.
8. Sleep with your head elevated.

How long does acute sinusitis last?

Acute sinusitis is mostly caused by the common cold. Unless a bacterial infection develops, most cases resolve within a week to 10 days. Home remedies may be all you need to treat acute sinusitis. Sinusitis that lasts more than 12 weeks despite medical treatment is called chronic sinusitis.

What is the difference between acute sinusitis and chronic sinusitis?

1. Acute versus Chronic Sinusitis. Acute sinusitis normally lasts no more than 4 weeks, while chronic sinusitis will last for 8 to 12 weeks or longer and can potentially linger for several years. Acute sinusitis is normally easier to diagnose and treat.

Do I need antibiotics for acute sinusitis?

Antibiotics are not needed for many sinus infections. Most sinus infections usually get better on their own without antibiotics. When antibiotics aren’t needed, they won’t help you, and their side effects could still cause harm.