n CME : Your SA Journal of CPD - Current approach to sinusitis : main topic




Most URTIs are viral infections. Only 0.5 - 2% of viral URTIs are complicated by bacterial superinfection. <br><I>Streptococcus pneumoniae, Haemophilus influenzae&lt;/I&gt; and <I>Moraxella catarrhalis&lt;/I&gt; 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.


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