【Safe Drugs】Ask! Should I take antibiotics for acute sinusitis?

Acute sinusitis can be divided into Viral sinusitis and bacterial sinusitis:

1. Viral sinusitis is often caused by cold virus infection, and its outcome also follows the general law of the course of colds. That is, nasal symptoms such as nasal congestion and runny nose usually resolve on their own within 7-10 days or show a trend of significant improvement. It does not require antibiotics;

2. Bacterial sinusitis is also mostly secondary to colds. When upper respiratory tract infection occurs, the mucociliary self-cleaning function of the nasal mucosa will be affected. Influence, the originally sterile sinus cavity may be contaminated by bacteria (mainly Haemophilus influenzae, Streptococcus pneumoniae and Moraxella catarrhalis) colonized in the nasal cavity and nasopharynx, resulting in delayed self-healing or severe nasal symptoms.

But it is not necessary to use antibiotics immediately once a diagnosis of bacterial sinusitis is made. The treatment should also depend on the degree of symptoms, whether it is accompanied by other infections such as pneumonia and acute otitis media, and Whether there is a risk of infectious complications of orbital, cranial and other peripheral organs:

1. If there is no other infection, and there is no (suspected) orbital or intracranial complications For bacterial sinusitis with mild symptoms and almost no trouble in daily life, if the patient and/or family members are also willing to observe, we can simply treat the symptoms such as saline as needed and observe the outcome. No active use of antibiotics is required. Mild bacterial sinusitis may also gradually resolve on its own;

2, but if bacterial sinusitis coexists with other site infections, or (suspected) peripheral organitis Sexual complications, or nasal symptoms are obvious and have caused great trouble to daily life, so timely initiation of appropriate antibiotic treatment is necessary.

The use of antibiotics at this time may not only quickly relieve symptoms and improve comfort, but also minimize the occurrence of other infectious complications

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