Most acute sinusitis is viral, not bacterial. Most antibiotic use for sinusitis is futile. Nasal irrigation and decongestant therapy are the hallmark treatments to relieve drainage pathway obstruction and give the body the ability to drain secretions properly.
submitted by โlm4(23)
to be considered bacterial sinusitis symptoms have to be 10+ days long. you would treat with amoxicillin (not sulfas). you can also have bacterial sinusitis with 3+ days of clinical symptoms + fever. This patient has had 4 days of symptoms and is afebrile- assume viral sinusitis for now and give symptomatic relief