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Acute sore throat, Acute sinusitis duration of antibiotic - Dr Sheetu Singh Chest Expert<br>www.drsheetusingh.com
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Acute sore throat: duration of antibiotic How long? 10 day course of Penicillin is preferred and 5 day course of Clarithromycin is reserved for children with penicillin allergy
Acute sinusitis Etiology: S. pneumoniae, M. catarrhalis, H. influenzae Symptoms: • Acute URI presents with nasal discharge of any quality + cough • Throat clearing indicates post nasal drip Role of Antibiotics?
Acute sinusitis A. Nearly all cases of acute bacterial sinusitis resolve without antibiotics. B. Antibiotics are used • Symptoms not improving after 10 days • Symptoms worsen after five to seven days • Severe symptoms: fever and purulent nasal discharge >3 days
Acute sinusitis • What antibiotic? Amoxicillin, Amoxicillin/Clavulanate • How long? 10 days
Outline • Introduction • Evaluation and therapy - Acute viral rhinosinusitis (common cold) • Acute sore throat & acute sinusitis • Acute otitis media • Influenza • Community-acquired pneumonia & bronchiolitis • Antibiotic resistance • Conclusion