- symptoms last for 10 days or more and are not improving (previous guidelines suggested waiting seven days); or
- symptoms are severe, including fever of 102 or higher, nasal discharge and facial pain lasting 3-4 days in a row; or
- symptoms get worse, with new fever, headache or increased nasal discharge, typically after a viral upper respiratory infection that lasted five or six days and initially seemed to improve.
Shorter treatment time – Most guidelines to date have recommended 10 days to two weeks of antibiotic treatment for a bacterial infection. However, the IDSA guidelines suggest five to seven days of antibiotics is long enough to treat a bacterial infection without encouraging resistance. The IDSA guidelines still do recommend children receive antibiotic treatment for 10 days to two weeks.
Avoid decongestants and antihistamines – Whether the sinus infection is bacterial or viral, decongestant and antihistamines are not helpful and may make symptoms worse. Nasal steroids can help ease symptoms in people who have sinus infections and a history of allergies.
Ashley Mattys | EurekAlert!
Further information:
http://www.idsociety.org
Further reports about: > Clinical Infectious Diseases > GRADE > IDSA > Infectious Diseases > antibiotic resistance > bacterial infection > infectious disease > infectious outbreaks > respiratory infection
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