Are antibiotics indicated for acute sinusitis?

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Are antibiotics indicated for acute sinusitis?

BACKGROUND Acute rhinosinusitis is a very common illness that is associated with physical, functional, and emotional impairments and significant treatment costs. Rhinosinusitis is defined as symptomatic inflammation of the sinuses and nasal cavity. Acute rhinosinusitis is classified as illness or symptoms for <4 weeks. It is typically a self-limiting disease; however, there are potential rare s...

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Are amoxycillin and folate inhibitors as effective as other antibiotics for acute sinusitis? A meta-analysis.

OBJECTIVES To examine whether antibiotics are indicated in treating uncomplicated acute sinusitis and, if so, whether newer and more expensive antibiotics with broad spectra of antimicrobial activity are more effective than amoxycillin or folate inhibitors. DESIGN Meta-analysis of randomised trials. SETTING Outpatient clinics. SUBJECTS 2717 patients with acute sinusitis or acute exacerbat...

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Are antibiotics indicated as initial treatment for children with acute otitis media? A meta-analysis.

OBJECTIVE To determine the effect of antibiotic treatment for acute otitis media in children. DESIGN Systematic search of the medical literature to identify studies that used antibiotics in randomised controlled trials to treat acute otitis media. Studies were examined blind, and the results of those of satisfactory quality of methodology were pooled. SUBJECTS Six studies of children aged 7...

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Are prophylactic antibiotics indicated after a urinary tract infection?

PURPOSE OF REVIEW Many children with urinary tract infection (UTI) and urinary tract abnormality such as vesicoureteral reflux (VUR) are given prophylactic antibiotic to prevent recurrence of UTI and permanent kidney damage. Occasionally, children with normal urinary tract receive prophylactic antibiotic to alleviate the patient suffering and family inconvenience associated with recurrent sympt...

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Role of antibiotics in sinusitis.

PURPOSE OF REVIEW Sinusitis is a leading reason for outpatient antibiotic use, but symptoms are nonspecific. We review potential methods that might enhance the ability to appropriately prescribe antibiotics. RECENT FINDINGS The evidence base for antibiotic use in acute rhinosinusitis is strongest in studies with stringent entry criteria. In less restrictive studies antibiotics and placebo per...

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ژورنال

عنوان ژورنال: The Laryngoscope

سال: 2014

ISSN: 0023-852X

DOI: 10.1002/lary.24540