Patient Population: Adult
| Diagnosis | Common Pathogens | Drug(s) of First Choice | Alternative Drug(s) | Comments | Expected Duration |
|---|---|---|---|---|---|
| Chronic sinusitis |
Viruses Strep. pneumoniae H. influenzae M. catarrhalis Anaerobes Staph. aureus Enterobacteriacae |
875mg/125mg PO BID
|
For severe beta-lactam allergy: OR Either above WITH OR WITHOUT*: Clindamycin |
Otolaryngology consult recommended to rule out anatomic abnormality. Symptomatic relief can include acetaminophen, ibuprofen, topical intranasal steroids, and/or nasal saline irrigation If acute exacerbation, treat as acute sinusitis. *Consider clindamycin if anaerobes and/or Staph aureus are high on the differential |
10-14 days |