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Mx of acute sinusitis

  • broad spectrum antibiotics such as Augmentin Due Forte (adults)
  • PLUS a short course of oral corticosteroids such as prednisolone 25-50mg/day in adults 1)
  • consider home sinus self-irrigation with saline
    • avoid tap water without it being sterilised if possible as there is a very small risk of lethal ameobic meningitis due to Naegleria fowleri
  • ~20% of patients having CT brain for headache or mild CHI will have a CT report of “chronic sinusitis” - this finding without acute URTI should probably NOT warrant Rx and is probably NOT the cause of an acute headache 2)
sinusitis.txt · Last modified: 2023/03/02 22:14 by gary1

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