Treatment
Table 6. Available Antibacterials Generic
Amoxicillin-clavulanate Cefixime
Cefotaxime Cefpodoxime Ceſtriaxone Clindamycin Doxycycline Levofloxacin Moxifloxacin
Available as Augmentin® Suprax®
Claforan® Vantin®
, generic , generic , generic , generic
Rocephin® Cleocin®
, generic , generic
Vibramycin® Levaquin®
Avelox® Bactrim®
, generic , generic , Septra® , generic
Table 7. Indications for Referral to a Specialist
Severe infection (high persistent fever with temperature > 102ºF; orbital edema; severe headache, visual disturbance, altered mental status, meningeal signs) Recalcitrant infection with failure to respond to extended courses of antimicrobial therapy Immunocompromised host
Multiple medical problems which might compromise response to treatment (eg, hepatic or renal impairment, hypersensitivity to antimicrobial agents, organ transplantation, etc.) Unusual or resistant pathogens Fungal sinusitis or granulomatous disease Nosocomial infection Anatomic defects causing obstruction and requiring surgical intervention Multiple recurrent episodes of ABRS (3-4 episodes per year) suggesting chronic sinusitis Chronic rhinosinusitis (with or without polyps or asthma) with recurrent ABRS exacerbations Evaluation of immunotherapy for allergic rhinitis
