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Sinusitis: Antibiotics
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Sinusitis is treated by re-establishing drainage of the nasal passages, controlling or eliminating the source of the inflammation, and relieving the pain. Doctors generally recommend decongestants to reduce the congestion, antibiotics to control a bacterial infection, if present, and pain relievers to reduce the pain.
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If your sinusitis has persisted for more than eight weeks, or if standard antibiotic treatment isn't working, a sinus CT may be necessary. Also, an allergist-immunologist or an otolaryngologist (a doctor specializing in the ear, nose and throat) may take a look up your nose using an instrument called an endoscope. An endoscope is a long, thin, flexible tube with a tiny camera and light at one end. It is inserted through the nose and snaked up to the ostia. Pus oozing out of the ostia means that an infection is brewing inside. Endoscopic procedures are not painful.
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Recurring sinusitis accompanied by a bacterial infection usually requires one of the new, stronger antibiotics, such as Augmentin, Ceclor or Ceftin. These drugs may be given in larger doses for a longer period of time (up to four weeks) than required for a brief bout of sinusitis. The doctor may ... recommend continued use of a prescription nasal inhaler for several months to keep the inflammation down and prevent a recurrence.
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Acute bacterial sinusitis is an infection of the sinus cavities caused by bacteria. It usually begins with a cold, an allergy attack, or an irritation by environmental pollutants. The difference between colds or allergies and bacterial sinusitis is that the latter requires a physician's diagnosis and treatment with an antibiotic to cure the infection and prevent future complications.
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If sinusitis is caused by a bacterial infection, treatment begins with an antibiotic. Medications such as decongestants, mucus-thinning medicine or cortisone nasal sprays are prescribed to reduce blockage and control allergies. Antihistamines, cromolyn and topical steroid nasal sprays ... help control allergic inflammation and keep the sinus passages open.
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Antibiotics: Antibiotics are standard treatments for bacterial sinusitis. It is important to finish the full course of antibiotics that your doctor has prescribed, even if you feel better after a few days. Stopping the antibiotics early can allow the infection to return. It can ... create a resistance to the antibiotic that was used to treat the sinusitis, making the antibiotic less effective and may allow the infection to spread further. Antibiotics are usually taken for 14 days. Longer treatments may be prescribed for people with more persistent or severe cases.
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