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Treatments for sinusitis [70] [71] Treatment Indication Rationale Time Viral and some bacterial sinusitis Sinusitis is usually caused by a virus which is not affected by antibiotics. [70] Antibiotics Bacterial sinusitis Cases accompanied by extreme pain, skin infection, or which last a long time may be caused by bacteria. [70] Nasal irrigation
Decongestants are used to treat nasal congestion, for instance in allergies, infections like the common cold, influenza, and sinus infection, and nasal polyps. Decongestants are also used to reduce redness in the treatment of simple conjunctivitis.
Use the shortest effective course; should see improvement in 2–3 days. Continue treatment for 7 days after symptoms improve or resolve (usually a 10–14 day course). Consider imaging studies in recurrent or unclear cases; some sinus involvement is frequent early in the course of uncomplicated viral URI [6]
Common side effects when inhaled include upper respiratory tract infections, sinusitis, thrush, and cough. [8] Common side effects when used in the nose include nosebleeding and sore throat. [ 9 ] Unlike fluticasone furoate , which is approved in children as young as two years of age when used for allergies, fluticasone propionate is only ...
Traditionally the treatment of acute maxillary sinusitis is usually prescription of a broad-spectrum cephalosporin antibiotic resistant to beta-lactamase, administered for 10 days. Recent studies have found that the cause of chronic sinus infections lies in the nasal mucus, not in the nasal and sinus tissue targeted by standard treatment.
Common cold, [7] influenza or COVID-19; Rhinitis medicamentosa, [7] a condition of rebound nasal congestion brought on by extended use of topical decongestants (e.g., oxymetazoline, phenylephrine, xylometazoline, and naphazoline nasal sprays) Sinusitis or sinus infection [7] Narrow or collapsing nasal valve [8]