n CME : Your SA Journal of CPD - Current approach to sinusitis : main topic
|Article Title||Current approach to sinusitis : main topic|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Author||D.J. (Nisius) Du Plessis|
|Publication Date||May 2004|
|Pages||240 - 245|
|Keyword(s)||Antibiotics, Complications, Diagnosis, Sinusitis, Symptoms, Treatment and Upper respiratory tract infections|
Most URTIs are viral infections. Only 0.5 - 2% of viral URTIs are complicated by bacterial superinfection. <br><I>Streptococcus pneumoniae, Haemophilus influenzae</I> and <I>Moraxella catarrhalis</I> are the most common bacterial isolates. <br>The diagnosis of ABRS is usually made on clinical judgment. <br>The organisms most commonly encountered, as well as the patterns of resistance in a geographical area, should be taken into consideration when selecting an antibiotic. <br>Antibiotic therapy should be given for at least 10 days. <br>High-dose amoxicillin will cure most sinus infections. <br>The addition of clavulanate will extend cover to include most betalactam- producing Gram-negative as well as anaerobic bacteria.
Article metrics loading...