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When should antibiotics be used to treat sinus problems?

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Antibiotics may be more appropriate to give to patients who are less able to fight off infection, such as those with diabetes, or serious heart or lung disease.

And antibiotics should be considered in patients with severe sinusitis symptoms, according to the practice guidelines from the American Academy of Allergy, Asthma and Immunology.

If antibiotics are given, a 10- to 14-day course is recommended, according to the practice guidelines. Amoxicillin is typically the first choice for people who are not allergic to penicillin.

SOURCES: Williamson, I.G. , Dec. 5, 2007. Lindbaek, M. , Dec. 5, 2007. MedlinePlus: "Allergy."  MedlinePlus: "Sinusitis." Slavin, R. Dec. 2005. Todd Kingdom, MD, director of rhinology and sinus surgery, National Jewish Health, and associate professor of otolaryngology, University of Colorado, Denver. Jordan S. Josephson, MD, ear-nose-throat specialist, Manhattan, staff physician, Manhattan Eye Ear and Throat Hospital, and author of Sinus Relief Now (Penguin, 2006). Russell B. Leftwich, MD, Nashville, Tenn., allergist and spokesperson, American Academy of Allergy, Asthma & Immunology. Richard F. Lavi, MD, allergist, Beachwood, Ohio, and member, American Academy of Allergy, Asthma & Immunology.








Journal of the American Medical AssociationJournal of the American Medical AssociationJournal of Allergy and Clinical Immunology,

Reviewed by William Blahd on July 12, 2017

SOURCES: Williamson, I.G. , Dec. 5, 2007. Lindbaek, M. , Dec. 5, 2007. MedlinePlus: "Allergy."  MedlinePlus: "Sinusitis." Slavin, R. Dec. 2005. Todd Kingdom, MD, director of rhinology and sinus surgery, National Jewish Health, and associate professor of otolaryngology, University of Colorado, Denver. Jordan S. Josephson, MD, ear-nose-throat specialist, Manhattan, staff physician, Manhattan Eye Ear and Throat Hospital, and author of Sinus Relief Now (Penguin, 2006). Russell B. Leftwich, MD, Nashville, Tenn., allergist and spokesperson, American Academy of Allergy, Asthma & Immunology. Richard F. Lavi, MD, allergist, Beachwood, Ohio, and member, American Academy of Allergy, Asthma & Immunology.








Journal of the American Medical AssociationJournal of the American Medical AssociationJournal of Allergy and Clinical Immunology,

Reviewed by William Blahd on July 12, 2017

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What should you know about sinusitis?

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