Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Doctors may recommend the following nonantibiotic treatments for sinusitis: Nasal decongestants: Over-the-counter nasal decongestant sprays can help relieve symptoms of stuffiness. Accessed Jan. 28, 2020. Be sure to consult with your healthcare provider before using any type of OTC medication to treat a sinus headache, particularly if you take any type of medication or you have a medical condition. Sherry Christiansen is a medical writer with a healthcare background. Accessed May 12, 2019. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. What's the best treatment for a staph infection? Historically, sinus infections, also called sinusitis, were often treated with antibiotics. In: Harrison's Principles of Internal Medicine. However, severe, progressive or persistent symptoms might require antibiotics. Centers for Disease Control and Prevention. What happens when antibiotics are overused? I've read stories of antibiotics wreaking havoc on the gut for long covid sufferers which give them a whole host of new issues. 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. Other prescription medicines for sinus infection include Cefaclor, Sulfamethoxazole, Azithromycin, Clarithromycin, and Loracarbef. doi:10.1002/14651858.CD000247.pub3. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Acute bronchitis is a lower respiratory tract infection. If you or your child is experiencing side effects from a prescribed antibiotic, make sure to tell your healthcare provider to be certain its nothing to worry about. The big difference is how long those symptoms linger. Cochrane Database Syst Rev. Accessed Jan. 28, 2020. Accessed May 12, 2019. These self-help steps can help relieve sinusitis symptoms: No alternative therapies have been proved to ease the symptoms of acute sinusitis. This site complies with the HONcode standard for trustworthy health information: verify here. Doctors may recommend taking antibiotics, which can help alleviate pain and provide symptomatic relief. other information we have about you. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults, Antibiotics for acute maxillary sinusitis, American Board of Internal Medicine (ABIM) Foundation, Learn more about the AAFP support of the Choosing Wisely campaign. 2023 Dotdash Media, Inc. All rights reserved. Washing your hands with soap and water. KidsHealth from Nemours. Upper respiratory infections should clear up on their own without needing interventions from your healthcare provider. Take regular hot showers and breathe in the damp air. Antibiotic resistance develops In an individual's body, and then the contagious infection that is spread to other people In the community is also resistant. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The most common reason for the visit among children was an adverse reaction to antibiotics. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Recurrent Respiratory Infections in Children, What Causes Fever and Headache Together and How Its Treated, Recurrent Respiratory Infections in Adults, Antibiotics Commonly Used to Treat Bronchitis, Whats Causing Your Lingering Cough and How to Treat It, side effects from a prescribed antibiotic, help ward off some side effects of antibiotics, Nonspecific upper respiratory tract infection fact sheet, Viral and bacterial interactions in the upper respiratory tract, Antibiotics for the common cold and acute purulent rhinitis, Antibiotic use in acute upper respiratory tract infections. Consult your doctor for more details. Shes previously worked and written for WIRED Science, The Scientist, Discover Magazine, LiveScience, and Business Insider. Whether your sinus infection turns out to be viral or bacterial, you can help to ease your symptoms early on with supportive sinus care: Use saline spray two to three times per day in each nostril . This helps reduce inflammation and swelling. Most upper respiratory infections are viral infections, which do not respond to antibiotics and typically go away on their own in a week or so. In this case, you will need to take antibiotics. What's the most likely cause of my symptoms? The McGraw-Hill Companies; 2018. https://accessmedicine.mhmedical.com. With acute sinusitis, it might be difficult to breathe through your nose. The most common is Amoxicillin which is effective against most strains of bacteria. Other classes attack the replication cycle of the bacteria, including cell division and protein synthesis needed to reproduce. This is an antibacterial medication used to treat infections that occur more frequently on people with a weakened immune system. Other conditions can cause symptoms similar to a sinus infection, including: Your doctor will determine if you have a sinus infection by asking about symptoms and examining you. Antibiotic resistance means that certain drugs no longer work for a specific type of germ. This content does not have an English version. Theyll also let you know if you should continue taking it or stop. When you get a cold, also known as an upper respiratory tract infection, should you visit your healthcare provider and get antibiotics? Your doctor may recommend treatments to help relieve sinusitis symptoms, including: OTC pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. Only used distilled water. This leads to a buildup of mucus, pain, and discomfort. Signal detection of adverse drug reaction of amoxicillin using the Korea Adverse Event Reporting System Database. Sinusitis is one of the most common diagnoses in primary care. Antibiotics are defined as any substance that inhibits the growth and replication of a bacterium or kills it outright, according to anarticle publishedby the Microbiology Society. Essential oils like eucalyptus and peppermint oils may help open the airways and ease congestion. https://www.womenshealth.gov/menstrual-cycle/your-menstrual-cycle/. Drink plenty of water To help flush the virus out of your system, make sure you're adequately hydrated. The area around your eyes and face might feel swollen, and you might have throbbing facial pain or a headache. Some antibiotics are used to attack a wide range of bacteria while others are highly specialized to target only certain bacteria. Accessed March 9, 2021. Stuffy nose that just isnt getting better? We prefer non-drowsy antihistamines such as Claritin, Zyrtec, and Xyzal so you can stay alert. This is because so many strains of staph bacteria have become resistant to other traditional antibiotics. Wash your hands often, especially after youve been in crowded places, like public transportation. For example, all penicillin-class antibiotics (ampicillin, amoxicillin) block the formation of the external cell wall of the bacteria. Symptoms of sinusitis include pain, pressure, and tenderness of the areas of the face over the sinuses. There are a few cases in which antibiotics might be useful: There are a few other reasons you might be prescribed antibiotics for an upper respiratory infection. Sinus infection and toothache: Any connection? Staphylococcal infections. He prescribed me an antibiotic for 5 days. If youre not finding relief from home remedies, ask your pharmacist to recommend an OTC treatment. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Antibiotics are not needed for many sinus infections. There's no treatment for viral sinus infections, but you can manage symptoms with over-the-counter medications. Sources: AAO-HNSF Updated Clinical Practice Guideline: Adult Sinusitis (Affirmation of Value by the AAFP). Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. This content does not have an Arabic version. Applying moist, warm heat may help soothe sinus pain. Acute sinusitis: Do over-the-counter treatments help? A neti pot is a container designed to rinse the nasal cavity. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Jennifer Welsh is a Connecticut-based science writer and editor with over ten years of experience under her belt. Our website services, content, and products are for informational purposes only. drinking plenty of fluids taking painkillers, such as paracetamol or ibuprofen (do not give aspirin to children under 16) avoiding allergic triggers and not smoking cleaning your nose with a salt water solution to ease congestion Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. This is taken in 3 or 4 divided doses daily for more effective results. Feb. 27, 2018. health information, we will treat all of that information as protected health All information these cookies collect is aggregated and therefore anonymous. Dosage The usual dosage of amoxicillin/clavulanate is 500 mg twice a day for 5 to 7 days. Annually, it accounts for 15% to 20% of adult antibiotic prescriptions and costs more than $20 million in patient visits. Talk to a healthcare professional right away if your child is under 3 months old with a fever of 100.4 F (38 C) or higher. A healthcare provider will prescribe antibiotics if your infection has spread to your lungs, causing pneumonia. All Rights Reserved. An acute sinus infection comes on suddenly and produces upper respiratory tract symptoms for two to four weeks. A sinus infection that persists for longer than a week or continues to get worse during this time period is more likely to be bacterial. Staph bacteria are very adaptable. (2016). Saving Lives, Protecting People, Espaol: Infeccin de los senos paranasales (sinusitis), Sinus Rinsing for Health or Religious Practice, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), Healthcare Professional Resources and Training, Educational Resources for Healthcare Professionals, Adult Outpatient Treatment Recommendations, Pediatric Outpatient Treatment Recommendations, Measuring Outpatient Antibiotic Prescribing, Tuberculosis (TB), Gonorrhea, and Valley Fever, Priorities for Hospital Core Element Implementation, Implementation Resources for Outpatient Facilities, Implementation Resources for Nursing Homes, U.S. Department of Health & Human Services. Best Antibiotic treatment for sinus infection. Apparently I had a sinus infection which I think he assumed was bacterial since I had covid 2 weeks ago and he thinks it would've gotten better by now. Available for Android and iOS devices. Managing a sinus infection? Side effects can range from minor issues, like a rash, to very serious health problems, such asantibiotic-resistant infectionsandC. diffinfection, which causes diarrhea that can lead to severe colon damage and death. The infection possibly resulted from "sinus rinse practices utilizing tap water," according to a news release from the Florida Department of Health in Charlotte County. Antibiotics won't help you get better if you have acute bronchitis. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Your symptoms, including any that seem unrelated to the reason for your appointment, Key personal information, including whether you have allergies or asthma, and family medical history, All medications, vitamins or other supplements you take, including the doses. 2005-2023 Healthline Media a Red Ventures Company. Sinusitis accounts for 16 million office visits and $5.8 billion in annual health care. In some cases, bacteria, or rarely fungus, may cause asinus infection. Ten home remedies to relieve sinus pain and pressure. Take your antibiotic as prescribed (especially with food or fluids if indicated). Because of the common overprescribing of antibiotics for the type of sinus infections that do not warrant such treatment, many people have developed whats commonly referred to as antibiotic resistance. Staphylococcal (staph) food poisoning. Why are doctors less likely to prescribe antibiotics these days? The infection is treated with a combination of drugs, including the antibiotic azithromycin . Diseases that are caused by bacteria are usually treated with antibiotics and are highly effective in preventing the bacteria from spreading. Treatment of mild to moderate sinusitis. You can review and change the way we collect information below. Review/update the 20(47):17788-17795. doi:10.3748/wjg.v20.i47.17788. Honey is packed with antioxidants and has antibacterial and antifungal properties. But on the other hand, while 85% of sinus infections improve or clear on their own, there's the 15% that do not. PLoS Pathog. Ferri FF. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. If we combine this information with your protected Years ago, doctors would prescribe antibiotics to treat a bad cold or ear infection to be on the safe side. These problems can include severe allergic reactions, antibiotic-resistant . Side effects can range from mild reactions, like a rash, to more serious health problems. Sinus infections, and related sinus pressure, can cause toothaches. When and Why You Might Need an Antibiotic for a Cold. These combination therapies contain cowslip, gentian root, elderflower, verbena and sorrel. This is because so many strains of staph bacteria have become resistant to other traditional antibiotics. You should only be taken according to what your doctor or physician has prescribed. information highlighted below and resubmit the form. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. (3) Studies that compared antibiotics with placebo showed that, in most cases, symptoms improved within two weeks, regardless of whether the participant received an antibiotic or not. While there are some cases in which you may be prescribed antibiotics for a common cold, these medications aren't harmless. It takes time to get over sinusitis. Get plenty of rest to help your body fight the infection. Here's how to treat sinus pressure and symptoms with seven natural home remedies that dont involve medication. An acute sinus infection, also called sinusitis, is usually caused by a virus. If you are a Mayo Clinic patient, this could He is an assistant clinical professor at the University of California, San Francisco School of Medicine and currently practices at Central Coast Allergy and Asthma in Salinas, California. Eat healthy foods colorful fruits and veggies that boost your immune system. These problems can include severe allergic reactions, antibiotic-resistant infections and C. diffinfection. Healthysinuses are filled with air. And until you know whether or not you have a staph infection, don't share towels, clothing and bedding and don't prepare food for others. If you go to the healthcare provider with a cold, theyll generally treat your symptoms, including suggesting you: There are only a few situations in which your healthcare provider might prescribe antibiotics when youre dealing with a cold or flu. You have symptoms of a bacterial infection and you have not gotten better after 10 days, even with home treatment. Make an appointment with a doctor if you have severe symptoms, or if the following symptoms last longer than 10 days or keep coming back: fever. We include products we think are useful for our readers. But more sore throats and ear infections are caused by viruses, and an antibiotic will do nothing to help the patient. Antibiotic-resistant strains of staph bacteria are often described as methicillin-resistant Staphylococcus aureus (MRSA) strains. For. She has worked in the hospital setting and collaborated on Alzheimer's research. Studies have shown that effective use of a low-pressure nasal saline rinse with high volume can lead to a rapid and long-term improvement in quality of life for people who have long-term sinus infections. How to treat a sinus infection without antibiotics? However, they must be used correctly to ensure safety. Aim to drink at least 8 ounces of water every 2 hours. When did you first notice your symptoms? Possible side effects from these herbal products include stomach upset, diarrhea and allergic skin reactions. 2016;31(9):1355-61. doi:10.3346/jkms.2016.31.9.1355, Shehab N, Lovegrove MC, Geller AI, Rose KO, Weidle NJ, Budnitz DS. You should also seek medical care if you have had multiple sinus infections in the past year. Without antibiotics, there is a higher chance of blood poisoning and the more complicated surgeries would not be possible to perform. How long does doxycycline stay in your body after you finish your prescribed amount? Symptoms of an upper respiratory infection can last up to two weeks but usually peak at around three days and are gone within seven. Repeat the process with the other nostril. Your body should be able to cure itself of a mild or moderate sinusitis and. Levofloxacin is usually only used for bacterial infections that cannot be treated with safer antibiotics. Antibiotics are very crucial during surgeries and are used to prevent patients from getting any infections from the cut. Symptoms lasting more than 10 days without getting better. Do you have any brochures or other printed material that I can take? Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 2011; doi:10.1542/peds.2010-3852. Renaud DL (expert opinion). Methicillin-resistant Staphylococcus aureus (MRSA): Laundry. Even if your acute sinusitis is bacterial, it may clear up without treatment. Centers for Disease Control and Prevention Overuse and overprescription of antibiotics when they arent effective leads to the development of antibiotic-resistant infections. A Cochrane review compiled data from 59 studies that involved the use of a variety of antibiotics to manage simple maxillary sinus infection in primary care settings. Antibiotic treatment should always be guided by your physician. Richmond ENT Theres a line of cold and sinus medications specifically for people with high blood pressure called Coricidin HBP. Incline your head over the sink at a 45-degree angle. Sinus rinses are safe for most people to use. AIDSinfo Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Many varieties have become resistant to one or more antibiotics. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. JAMA. The infection irritates the bronchial tubes and causes swelling and excessive mucus that causes a cough that can last for a few weeks. What are the symptoms of a sinus infection? https://www.cdc.gov/mrsa/community/index.html. Cochrane Database Syst Rev. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Learn about treatments to help release the pressure and clear up a toothache. Generally speaking, there are some healthy hygiene habits that can help protect you from infections and stop antibiotic-resistant germs from spreading, including: 9. Despite consistent recommendations to the contrary, antibiotics are prescribed in over 80% of outpatient visits for acute sinusitis. Antibiotics may be prescribed in a few different situations: Fever is a rare symptom of the common cold in adults but may be more likely in children. Learn more about the. Some over-the-counter medicines are not recommended for children of certain ages. These work by narrowing blood vessels to help reduce inflammation and swelling that cause sinus congestion. Your doctor might wait and watch to see if your acute sinusitis worsens before prescribing antibiotics. A subacute sinus infection lasts for four to 12 weeks. Always follow their instructions to achieve the best results. Yes. Verywell Health's content is for informational and educational purposes only. facial pain. Antibiotics are not needed for many sinus infections, but your doctor can decide if you need an antibiotic. Unfortunately, it's hard to know if a sinus infection is bacterial, viral, or has other causes based on symptoms alone. Healthline only shows you brands and products that we stand behind. What are the Best Antibiotics for Sinus Infection do Doctors Prescribe For You? Get plenty of rest for your body to heal and fight the infection. https://naturalmedicines.therapeuticresearch.com. You can help prevent sinus infections by doing your best to stay healthy and keep others healthy, including: To receive email updates about this page, enter your email address: We take your privacy seriously. Natural Medicines. Because viral sinus infections tend to improve in 5 to 7 days, healthcare providers will sometimes only prescribe antibiotics if your symptoms go on for longer than this. To fight the virus, add antibacterial foods like garlic, ginger, and onions to your meals. Aim to drink at least 8 ounces of water every 2 hours. Eat foods with antibacterial properties, 7. The infection may have spread to your lungs or other parts of the upper respiratory system. 2019;37:41. Centers for Disease Control and Prevention. Is my condition likely temporary or chronic? Information about medical problems you've had, Information about the medical problems of your parents or siblings, All medications, herbs, vitamins and other supplements you take, Questions you want to ask your health care provider. This is a synthetic oral antibiotic that prevents bacteria from multiplying. Here are some tips to for hydrated sinuses: Shop for a humidifier and saline nasal spray. Also explore types, prevention, and more. Keep up to date with recommended immunizations. JAMA. Some people try saline spray and nasal irrigation to find relief. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. This site complies with the HONcode standard for trustworthy health information: verify here. 8th ed. A mum whose daughter was diagnosed with a rare cancer after being told it was a sinus infection wants to make as many special memories as possible. swabbing the inside of your nose (not routinely done), symptoms that have lasted for more than 10 days, symptoms that arent eased by OTC medication, several sinus infections over the past year. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Cephalexin can be prescribed from 250 mg to 500 mg every 6 to 12 hours for 5 to 7 days. J Fam Pract. US emergency department visits for outpatient adverse drug events, 2013-2014. Menstrual cycle. Use a clean humidifier to moisten the air at home. In addition - I often suggest trying saline nose drops or nasal sprays (or a Neti pot), warm compresses and an EarDoc to gently breakup thick mucus in the sinuses and get things moving a bit - plus, it can feel good on the face. Mucinex (guaifenesin) Note that decongestants can help relieve nasal and sinus congestion but they are contraindicated (shouldn't be taken) if you have certain medical conditions, such as glaucoma or hypertension/high blood pressure. Rub one drop of each oil on the roof of your mouth, then drink a glass of water. This drug is usually used to stop the growth of bacteria and is administered orally. information and will only use or disclose that information as set forth in our notice of These pockets run from the nose into the throat. Read our. Sinusitisis usually caused by a virus and often persists even after other upper respiratory symptoms are gone. Ahovuo-Saloranta A, Rautakorpi U-M, Borisenko OV, et al. How to treat a sinus infection without antibiotics? Do you have any ongoing medical conditions, including a weakened immune system? Antibiotics commonly prescribed to treat staph infections include cefazolin, nafcillin, oxacillin, vancomycin, daptomycin and linezolid. Advertising revenue supports our not-for-profit mission. Thank you, {{form.email}}, for signing up. (Inputs by: Dr Aniket Mule, consultant internal medicine, Wockhardt . What websites do you recommend? But in many cases, when it comes to the common cold and flu, unnecessary antibiotics may make you feel worse. Recurrent sinus infections are defined as four or more sinus infections in a given year. Fluid builds up, which can cause congestion and runny nose. Antibiotics also can help ward off rare but potentially dangerous complications that arise when a sinus . Learn more about the AAFP support of the Choosing Wisely campaign. Probably not. Dr. Paul Jantzi, a board-certified allergist and immunologist, provides allergy treatments in Texas with office locations in Bastrop,Brenham,College Station,Columbus,Giddings, andLa Grange. To provide you with the most relevant and helpful information, and understand which However, there are many types of antibiotics your doctor may prescribe, which is the best antibiotic for sinus infection in adults. Antibiotics are further divided into bactericidal antibiotics (which kill bacteria . This content does not have an English version. Imaging studies. Antibiotics commonly prescribed to treat staph infections include cefazolin, nafcillin, oxacillin, vancomycin, daptomycin and linezolid. 3 These foods contain lots of vitamin C to fight off viruses. 2017;6(6):CD000245. 2013;9(1):e1003057. Sinusitis: An infection in your sinuses causing pain and congestion, Otitis media: An ear infection causing pain, Pharyngitis: A sore throat, which might be strep throat, Epiglottitis: An infection and resulting swelling of the epiglottis, a flap of tissue that covers your windpipe, which can interfere with breathing, Laryngotracheitis: Infection of the larynx (which holds the vocal cords), trachea, or bronchi, Hydrate with water or electrolyte sports drinks, Suck on lozenges, hard candies, or ice pops to soothe a sore throat, Try antihistamines or decongestants (like pseudoephedrine) for symptom relief, Take pain relievers and fever reducers, including Tylenol (acetaminophen) and Advil (ibuprofen),to address those symptoms. 2019;321(19):1946. doi:10.1001/jama.2019.3468, Kenealy T, Arroll B. Your symptoms dont clear up on their own within about 10 days. How can I best manage these conditions together? Emergency Medicine Clinics of North America. Always use over-the-counter medicines as directed. . Cookies used to make website functionality more relevant to you. Your allergist or primary care provider will determine whether your sinus infection is caused by bacteria or a virus. Clinical report Fever and antipyretic use in children. doi:10.1371/journal.ppat.1003057, Baiu I, Melendez E. Epiglottitis. If you are a Mayo Clinic patient, this could Saline nasal rinses are often used to help flush out thickened mucus and allergens from the nasal passages and to relieve dryness. Sinus infections are very common. If your doctor suspects a bacterial infection, you will be prescribed antibiotics. mucus dripping down the throat from the nose, tenderness under the eyes or on the bridge of the nose, mild to severe pain in the forehead or temples, bad breath or unpleasant taste in the mouth. Cover both your head and the bowl with a thick towel. WebMD. Sinus infections almost always get better on their own. Philadelphia, Pa.: Elsevier; 2015. https://www.clinicalkey.com. Several home remedies can help you get rid of a sinus infection unless the cause is bacterial. In case you have an allergy to these antibiotics, you may get rid of sinus infection without antibiotics. OTC decongestants, such as pseudoephedrine (Sudafed), may relieve sinusitis symptoms by narrowing the blood vessels. Structural problems within the sinuses. By Jennifer Welsh All rights reserved. Amoxicillin rash: When should I be concerned? Don't routinely prescribe antibiotics for acute mild-to-moderate sinusitis unless symptoms last for ten or more days OR symptoms worsen after initial clinical improvement. Sinusitis is one of the most common diagnoses in primary care. sinusitis, can be either a viral or bacterial infection. But proceed with caution. Talk to your doctor about the best treatment for your illness. nasal discharge. In the rare instance that an antibiotic is needed to treat a sinus infection, amoxicillin or amoxicillin/potassium clavulanate is recommended. Overview Acute sinusitis causes the spaces inside your nose (sinuses) to become inflamed and swollen. At Brazos Valley Allergy & Asthma Clinics, we strive to help our patients be as healthy as possible with respect to their allergies, asthma, and immune system. (2019). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Antibiotics are not needed for acute viral sinusitis.

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