The IDSA has issued new guidelines for the management of acute sinusitis. The recommendations include avoiding antibiotics (unless duration >10 days, severe symptoms, or recurrence), but if antibiotics are indicated, augmentin is first line, with allergic options including doxycycline, moxifloxacin, or levofloxacin. Duration should be 5-7 days in adults (double duration in children). They recommend against routine use of antihistamine or decongestants, or CT imaging. The full guidelines can be found at (IDSA site)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.