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FAMILY PRACTICE NOTEBOOK PLUS

Amoxicillin with clavulanate should be prescribed for patients at high risk of being infected by an organism resistant to amoxicillin. If a decision is made to treat ABRS with antibiotics, amoxicillin with or without clavulanate should be prescribed as first-line therapy for 5-10 days.Patients undergoing watchful waiting should be prescribed antibiotics if their symptoms fail to improve after 7 days or worsen at any time. Adults with uncomplicated ABRS should be either offered watchful waiting or prescribed antibiotic therapy.Analgesics, intranasal steroids and/or nasal saline irrigation may be recommended for symptomatic relief of viral or bacterial rhinosinusitis.Radiographic imaging should not be performed in patients with ARS unless a complication or alternative diagnosis is suspected.

FAMILY PRACTICE NOTEBOOK PLUS

ABRS should be diagnosed when signs and symptoms of acute rhinosinusitis (ARS) (purulent nasal drainage plus nasal obstruction, facial pain-pressure or both) persist without improvement for at least 10 days or if signs and symptoms worsen within 10 days after initial improvement.

Acute bacterial rhinosinusitis (ABRS) should be distinguished from acute rhinosinusitis due to viral respiratory infections and noninfectious conditions.

The guideline, Adult Sinusitis, was developed by the American Academy of Oyolaryngology-Head and Neck Surgery and was reviewed and categorized as Affirmation of Value by the American Academy of Family Physicians. Read MoreĪdult Sinusitis (Affirmation of Value, April 2020) monkeypox cases rising, vaccine and public health expert Jonathan Temte, M.D., Ph.D., M.S., answers your questions about the outbreak and what family physicians should know. We’re advocating to swiftly avert these cuts and implement long-term reform. Without congressional action, the Medicare physician fee schedule proposed rule will result in unsustainable payment cuts for family physicians in 2023.

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FAMILY PRACTICE NOTEBOOK SOFTWARE

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