Sinusitis guidelines recommend against quick antibiotic prescribing

NEWS IN BRIEF — Posted Dec. 19, 2005

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Unless symptoms are severe, antibiotics should not be prescribed for sinusitis unless the condition continues for at least 10 days. Radiographs and CT scans also are unnecessary, and a diagnosis should be made based on a history and physical exam of the patient, according to a practice parameter published this month in the Journal of Allergy and Clinical Immunology.

The paper was developed by the American Academy of Allergy, Asthma and Immunology; the American College of Allergy, Asthma and Immunology; and the Joint Council of Allergy, Asthma and Immunology.

"This practice parameter is intended to improve on the diagnosis and management of patients," said Raymond G. Slavin, MD, lead author and chair of the Sinusitis Update Workgroup. "This will result in reduced health care costs and a better quality of life for patients with sinusitis."

The parameter also urges that if the cause is determined to be bacterial, penicillin should not be used because of increasing resistance to that drug. Patients should be referred to a specialist if the condition becomes chronic, and surgery should be considered only after medical therapies have been unsuccessful.

Note: This item originally appeared at

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn