CLINICAL MANAGEMENT GUIDELINE

Acute rhinosinusitis

ICD10: Acute sinusitis, unspecified [J01.90]

Treatment: Antibiotics therapy (restricted to specific cases)

It is a mucosal inflammation of the nose and sinuses in less than 4 weeks.


-Targeting the bacterial infection presentation (more than 10 days without an improvement, purulent discharge, nasal obstruction, dental pain, or local pain/pressure/headache, unilateral mucosal inflammatory signs ) OR immunocompromised patient. -Targeted bacteria are Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis. 1

initiate after 5 days of no responsivness by supportive medications.

Treatments

Level 1 / 4
pharmacological
Clindamycin
ROUTE
Oral
DOSE
150.000 mg
FREQUENCY
T.I.D.
pharmacological
cefpodoxime
ROUTE
Oral
DOSE
200.000 mg
FREQUENCY
BID
pharmacological
Amoxicillin
ROUTE
Oral
DOSE
500.000 mg
FREQUENCY
T.I.D.

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  • Duplicating mechanism of action of effect
  • Weight based dosing
  • Contraindication
  • Renal dosing
  • Interactions to drugs or diseases
  • Hepatic dosing

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