A 45-year-old with chronic rhinosinusitis asks about antibiotics for presumed bacterial sinusitis. He has mild symptoms for 5 days. What is appropriat...

Question

A 45-year-old with chronic rhinosinusitis asks about antibiotics for presumed bacterial sinusitis. He has mild symptoms for 5 days. What is appropriate?

Accepted Answer

Watchful waiting; antibiotics reserved for severe/prolonged/worsening features

Answer

Start amoxicillin-clavulanate immediately

Answer

Start azithromycin for 3 days

Answer

Use fluoroquinolone due to superior penetration

Answer

Obtain sinus CT before treatment

us-abfm MCQ (SBA): Rhinosinusitis

A 45-year-old with chronic rhinosinusitis asks about antibiotics for presumed bacterial sinusitis. He has mild symptoms for 5 days. What is appropriate?