Acute sore throat, Acute sinusitis duration of antibiotic - Dr Sheetu Singh Chest Expert

1
Acute sore throat duration of antibiotic
How long?

• 10 day course of Penicillin is preferred and
  5 day course of Clarithromycin is reserved for
  children with penicillin allergy

2
Acute sinusitis

• Etiology
• S. pneumoniae, M. catarrhalis, H. influenzae
• Symptoms
• Acute URI presents with nasal discharge of any
  quality cough
• Throat clearing indicates post nasal drip
• Role of Antibiotics?

3
Acute sinusitis

• A. Nearly all cases of acute bacterial sinusitis
  resolve without antibiotics.
• B. Antibiotics are used
• Symptoms not improving after 10 days
• Symptoms worsen after five to seven days
• Severe symptoms fever and purulent nasal
  discharge gt3 days

4
Acute sinusitis

• What antibiotic?
• Amoxicillin, Amoxicillin/Clavulanate

• How long?

10 days
5
Outline

• Introduction
• Evaluation and therapy
• - Acute viral rhinosinusitis (common cold)
• Acute sore throat acute sinusitis
• Acute otitis media
• Influenza
• Community-acquired pneumonia bronchiolitis
• Antibiotic resistance
• Conclusion