It was February, and clinic was teeming with respiratory infections of all kinds: mostly the common cold, but also bronchitis, pneumonia, and sinus infections. The patients were coming in usually thinking that they needed antibiotics for their sinus infection, or another respiratory infection. Her congestion had improved a bit at one point, and she thought that she was finally getting better. She had body aches, chills, and extreme fatigue. Ah, sinus infections. The New England Journal of Medicine published a clinical practice review of acute sinus infections in adults, that is, sinus infections of up to four weeks. The need for an updated review was likely spurred by the disconcerting fact that while the vast majority of acute sinus infections will improve or even clear on their own without antibiotics within one to two weeks, most end up being treated with antibiotics. It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates.
Rarely have I taken antibiotics. Nasal sprays aren’t helping. Discover how doctors determine whether your sinus infection is viral or bacterial. Decide what’s next 1. Compare your options. Worrisome symptoms that can warrant immediate antibiotic flr include a fever over
Do you have enough support and advice from others to make a choice? Sometimes it is caused by a fungus. You’re right. Symptoms often start to clear up on their own in 10 to 14 days. Be careful about giving over-the-counter medicines to children.