Wednesday, September 21, 2022

Which Antibiotics Treat A Sinus Infection

Halo Oral Antiseptic Berry

Sinus Infections Shouldn’t be Treated with Antibiotic

Halo is an oral antiseptic that protects against airborne germs. Protection from sickness is just a squirt away! It is packaged in a small 1 fl. oz. bottle and three sprays in the mouth kills 99.9% of many common harmful germs and bacteria that normally lasts for up to six hours. This is a great and a hassle-free tool for using while at school, bus, grocery store or in any crowded place there is.

Unlike the other oral antiseptics, this one has a kids formula and comes in two different varieties: citrus and berry flavor for adult and grape flavor for children. This is a kid friendly suggestion to suppress the common colds and prevent from further sinus complications including fever, congested and stuffy nose, sore throat and cough, and most especially flu.

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Can Sinus Infections Or Sinusitis Be Prevented

Currently, there are no vaccines designed specifically against infectious sinusitis or sinus infections. However, there are vaccines against viruses and bacteria that may cause some infectious sinusitis. Vaccination against pathogens known to cause infectious sinusitis may indirectly reduce or prevent the chance of getting the disease however, no specific studies support this assumption. Fungal vaccines against sinusitis are not available, currently.

If you are prone to recurrent bouts of a “yearly sinus infection” it may be important to consider allergy testing to see if this is the underlying cause of the recurring problem. Treatment of the allergy may prevent secondary bacterial sinus infections. In addition, sinus infections may be due to other problems such as nasal polyps, tumors, or diseases that obstruct normal mucus flow. Treatment of these underlying causes may prevent recurrent sinus infections.

Symptoms And Signs Of Sinusitis

Acute and chronic sinusitis cause similar symptoms and signs, including purulent rhinorrhea, pressure and pain in the face, nasal congestion and obstruction, hyposmia, halitosis, and productive cough . Often the pain is more severe in acute sinusitis. The area over the affected sinus may be tender, swollen, and erythematous.

  • Maxillary sinusitis causes pain in the maxillary area, toothache, and frontal headache.

  • Frontal sinusitis causes pain in the frontal area and frontal headache.

  • Ethmoid sinusitis causes pain behind and between the eyes, a frontal headache often described as splitting, periorbital cellulitis, and tearing.

  • Sphenoid sinusitis causes less well localized pain referred to the frontal or occipital area.

Malaise may be present. Fever and chills suggest an extension of the infection beyond the sinuses.

The nasal mucous membrane is red and turgescent yellow or green purulent rhinorrhea may be present. Seropurulent or mucopurulent exudate may be seen in the middle meatus with maxillary, anterior ethmoid, or frontal sinusitis and in the area medial to the middle turbinate with posterior ethmoid or sphenoid sinusitis.

Manifestations of complications include periorbital swelling and redness, proptosis, ophthalmoplegia, confusion or decreased level of consciousness, and severe headache.

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When Do I Actually Need Antibiotics For A Sinus Infection

There are several guidelines for determining if a patient actually needs antibiotics for a sinus infection. If you have thick, colorful nasal discharge and/or facial pain for at least 10 days, you meet the criteria. This does not mean if you have a slightly yellow or clear nasal discharge for 10 days having discharge from the nose for at least 4 weeks is normal in the case of sinus infections.

The second criterion is if your symptoms have improved but then got worse again, even if its been less than 10 days. This is referred to as double worsening and is a common scenario in bacterial infections. However, even then, you may want to follow what doctors suggest as watchful waiting. Wait 2 weeks and see if symptoms got better. Use over-the-counter medications and supportive care , as they often do the trick.

Does Your Child Need Antibiotics For A Sinus Infection

Antibiotics for sinus infection
  • Infectious disease specialists agree on the following criteria for treating sinus infections with antibiotics:
  • Symptoms lasting for 10 days or more and not improving
  • Symptoms with fever over 102 degrees lasting for 3-4 days in a row
  • Cold symptoms lasting 5-6 days that improved but were then followed by new fever, headache, cough, nasal discharge or facial pain
  • Xrays are NOT accurate for diagnosing sinusitis. They can result in both under-diagnosis and over-diagnosis. The best test to detect the presence of infection is a CT scan of the sinuses.
  • Adults meeting the criteria above can be treated with antibiotics for just 5-7 days. Children should still get 10-14 days of treatment.
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    If You Think You Have A Sinus Infection

    If you feel you are experiencing sinus infection symptoms, make an appointment with your PartnerMD physician, and do not attempt to treat symptoms on your own. While you may initially be recommended OTC treatments, only your doctor can accurately diagnose your symptoms, and prescribe the right treatment for relief.

    Have a question about your sinus infection symptoms? Contact us today to see if a relationship with a concierge doctor could be beneficial.

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    What Are The Most Common Antibiotics Used For Sinusitis

    Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. While often prescribed twice daily, it is even more effective if taken in 3 or 4 divided doses. Amoxicillin is typically prescribed for 7-10 days at a time. While it is critical to finish the entire 10 day course of antibiotics when treating strep throat, there is evidence that shorter courses of treatment may be sufficient for most cases of sinusitis. Amoxicillin is closely related to the parent compound penicillin and should not be prescribed in patients who are penicillin allergic.

    Cephalosporins and Augmentin are considered broad-spectrum antibiotics because they have enhanced effectiveness against a wider range of bacteria, including those that are resistant to ordinary penicillin or amoxicillin. If the patient does not improve within the first week on amoxicillin, a change to Augmentin or to a cephalosporin such as Ceftin, Cefzil, Omnicef, or Suprax is reasonable. Although these drugs have a similar mechanism of action to penicillin, they generally can be taken in adequate doses once or twice daily. These medications should be used with extreme caution in patients with a history of penicillin allergy, as cross-reaction may occur.

    Additional resources:

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    Pathogenesis Of Acute Sinusitis

    Acute sinusitis usually follows an acute upper respiratory tract infection . As the viral infection spreads in the nasal mucosa, swelling and oedema of the mucosa results. As the mucosal surfaces of the ostiomeatal unit are in close proximity to one another , obstruction of the sinus ostia results. In addition, the viral infection may reduce normal cilial motility. This prevents normal muco-ciliary clearance resulting in an accumulation of mucus in the sinuses and the development of the symptoms of sinusitis. If this mucus becomes secondarily infected by bacteria, acute bacterial sinusitis develops.

    What Are The Best Antibiotics For Sinus Infection Do Doctors Prescribe For You

    Do antibiotics really help in managment of Sinus Infection? – Dr. Harihara Murthy

    There are many antibiotics that your doctor or physician may prescribe to help treat your sinus infection. Some of these may even be familiar to you.

  • Ciprofloxacin This drug is used to treat conditions including urinary tract infections, specific types of infectious diarrhea, bone and joint infections, respiratory tract infections, typhoid, and other forms of bacterial infection.
  • Trimethoprim This drug is the brand name for a medication that is a combination of two antibiotics: trimethoprim and sulfamethoxazole that is used to treat bacterial infections. Bactrim works by preventing the growth of bacteria.
  • These antibiotics are effective in treating sinus infection, however, these drugs do carry side effects. You should only be taken according to what your doctor or physician has prescribed. Always follow their instructions to achieve the best results.

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    When Antibiotics Are Appropriate Treatment

    Antibiotics may be given to people who are less able to fight off infection, such as those with diabetes, or serious heart or lung disease.

    In addition, antibiotics can be given to those whose symptoms have gotten worse or those who show no improvement after seven days.

    If antibiotics are given, a 10- to 14-day course is recommended, according to the practice guidelines. Amoxicillin or amoxicillin clavulanate are typically the first choice for people who are not allergic to penicillin.

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    When Does Antibiotic Resistance Occur

    Antibiotic resistance occurs in a persons own body and within the community when certain drugs no longer work for a specific type of germ. This can occur when bacteria change in response to exposure to antibiotics so that the antibiotics no longer work efficiently against the bacteria.

    Therefore, allergists and other specialists recommend limiting the use of antibiotics unless:

    • Symptoms last over seven to 10 days
    • Specific symptoms are present
    • A fever is present

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    Is There A Best Antibiotic For A Sinus Infection

    In most cases, a sinus infection doesnt need antibiotics it will go away on its own. Viruses are usually the cause of sinusitis. However, if yours is due to a bacterial infection, your doctor may prescribe antibiotic treatment to shorten your recovery time and relieve your symptoms. Amoxicillin, with or without clavulanate,is a first-line antibiotic prescribed for sinus infections, but your doctor will prescribe the antibiotic thats best for your condition.

    Only take antibiotics if your doctor prescribes them. Dont try to self-treat your sinus infection by taking leftover antibiotics you may have on hand. Taking antibiotics when you dont need them wont help your condition and could cause serious health problems.

    What Are The Six Types Of Sinusitis And Sinus Infections

    Top 8 Sinus Infection Natural Remedies

    Sinusitis may be classified in several ways, based on its duration and the type of inflammation . The term rhinosinusitis is used to imply that both the nose and sinuses are involved and is becoming the preferred term over sinusitis.

    • Acute sinus infection usually lasts less than 3-5 days.
    • Subacute sinus infection lasts one to three months.
    • Chronic sinus infection is greater than three months. Chronic sinusitis may be further sub-classified into chronic sinusitis with or without nasal polyps, or allergic fungal sinusitis.
    • Recurrent sinusitis has several sinusitis attacks every year.

    There is no medical consensus on the above time periods.

    • Infected sinusitis usually is caused by an uncomplicated virus infection. Less frequently, bacterial growth causes sinus infection and fungal sinus infection is very infrequent. Subacute and chronic forms of a sinus infection usually are the result of incomplete treatment of an acute sinus infection.
    • Noninfectious sinusitis is caused by irritants and allergic conditions and follows the same general timeline for acute, subacute, and chronic as infectious sinusitis.

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    Important Factors To Keep In Mind

    • Avoid drinking alcohol and caffeinated drinks while you are on prescribed antibiotics or any sort of medicine, as alcohol intake reduces its effectiveness which makes the entire course useless.
    • While other medicines are available over-the-counter, it is much better to ask your doctor first if you have certain allergies or condition. This is to avoid unpleasant reactions because a medicines effectiveness also depends on the individuals health.
    • For a maximum result, never miss your dose on a given time. Make sure you check the labels and that you fully understand the instructions, particularly on the amount of dose that you are supposed to take.
    • If you suddenly feel that theres something wrong in your body after taking your meds, observe how it affects you. If you show severe symptoms that you are not familiar with, do not hesitate to consult your doctor.
    • Some antibiotics or medicines are not to be taken by pregnant women doctors usually recommend a certain brand for these kinds of patients.
    • Maya International Bio Ampixilina
    • Vicks DayQuil Cough Cold and Flu Relief
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    • XLEAR Natural Saline Nasal Spray
    • Our rating

    For mild cases of ear infection, doctors often recommend watching and waiting before starting use of antibiotics, as many cases will go away on their own. Consult your childs pediatrician before giving any over-the-counter medications to your child.

    Other Remedies For Symptom Relief

    Staying hydrated can help thin mucus to ease congestion.

    Drinking hot liquids such as tea and broth may help relieve your symptoms. Breathing in moist air may also help relieve the discomfort that comes with nasal congestion. Try breathing in steam from the shower, a bowl of hot water, or a mug of tea.

    If your voice is hoarse, rest it by avoiding yelling, whispering, and singing.

    Placing a warm compress over the inflamed area can help reduce pressure and provide relief.

    damages the natural protective elements of your nose, mouth, throat, and respiratory system.

    If you smoke, consider quitting. Ask a doctor if you need help or are interested in quitting. Quitting may help prevent future episodes of both acute and chronic sinusitis.

    Wash your hands frequently, especially during cold and flu seasons, to keep your sinuses from becoming irritated or infected by viruses or bacteria on your hands.

    Using a humidifier during the cooler, dryer months may also help prevent sinus infections.

    Talk with a doctor to see if allergies are causing your sinusitis. If youre allergic to something that causes persistent sinus symptoms, you will likely need to treat your allergies to relieve your sinus infection.

    You may need to seek an allergy specialist to determine the cause of the allergy. The specialist may suggest:

    • avoiding the allergen

    Keeping your allergies under control can help prevent repeated episodes of sinusitis.

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    Dont Rush To Antibiotics

    The sinuses are small, hollow spaces inside the head. They drain into the nose. The sinuses often cause problems after a cold. They can also cause problems if they get blocked up from hay fever and other allergies. The medical name for sinus problems is sinusitis.

    Sinus problems can be very uncomfortable. You may feel stuffed up. You may have yellow, green, or gray mucus. And you may feel pain or pressure around your eyes, cheeks, forehead, or teeth.

    Each year, millions of people use antibiotic drugs to treat sinus problems. However, they usually do not need antibiotics. Heres why:

    Do I Need Antibiotics For A Sinus Infection

    Wellness Wednesday: Antibiotics for sinus infections?

    Sinus infections can be extremely frustrating, especially when you have a headache and facial pain that doesnt go away, coupled with the inability to breathe through your nose. You want immediate relief, but unfortunately, it takes at least a few days to start feeling better. You may think you need to go to the doctor and get antibiotics for a sinus infection, but this isnt always the case.

    In the winter months, sinus infections, colds, bronchitis, pneumonia, the flu, and other respiratory infections are common. Patients think that if they come down with an illness, they will require antibiotics. However, most sinus infections dont require antibiotics.

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    Antibiotic Treatment For Sinusitis

    Antibiotics are labeled as narrow-spectrum drugs when they work against only a few types of bacteria. On the other hand, broad-spectrum antibiotics are more effective by attacking a wide range of bacteria, but are more likely to promote antibiotic resistance. For that reason, your ear, nose, and throat specialist will most likely prescribe narrow-spectrum antibiotics, which often cost less. He/she may recommend broad-spectrum antibiotics for infections that do not respond to treatment with narrow-spectrum drugs.

    Dosage Of Amoxicillin For Sinusitis

    The medicine Amoxicillin 500 mg Tablet can be orally taken in the form of pills. This medicine is generally prescribed to be taken once a day. As per prescription, this drug can be taken with/without food. Either complete the whole course or stop it only after proper consultation with the doctor.

    The dosage of Amoxicillin 500 mg Tablet depends on various factors-

    • Type of infection
    • Severity
    • Patients age

    For mild to moderate infection: Adults should take 250 mg orally every 8 hours or 500 mg every 12 hours.

    For severe infection: Adults should take 500 mg orally every 8 hours or 875 mg every 12 hours.

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    What To Do For Chronic Sinusitis

    If youre suffering from chronic sinusitis or you are getting frequent sinus infections you should see your doctor, says Dr. Sindwani.

    Your doctor will swab your nose to collect mucus. Culturing it in a laboratory will reveal which type of bacteria is causing the infection so the right antibiotic can be prescribed.

    Treat early sinus infection symptoms with rest, hydration and over-the-counter sprays and decongestants. But dont look for an antibiotic unless your illness extends beyond a week, he says. Then check in with your doctor for a prescription and let him or her know if your condition worsens.

    What Are The Symptoms Of Acute Sinusitis

    Information about Antibiotics for sinus infection

    Symptoms that commonly occur include:

    • Pain and tenderness over the infected sinus. The pain is often throbbing and worse when you bend your head forwards. Chewing may be painful.
    • Nasal symptoms. You may have either:
    • A blocked nose. This may occur in one or both nostrils, sometimes with loss of smell.
    • A runny nose. Yellow or green discharge may mean infection.
  • A high temperature .
  • Other symptoms that may occur include:

    • Headache.

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    When Should You Use Antibiotics

    You usually need an antibiotic when you have an infection that is caused by bacteria, and the infection is not going away on its own. This may be the case when:

    • Your symptoms last more than 10 days.
    • Your symptoms start to get better, but then get worse again.
    • Your symptoms are very severe. You should get immediate treatment if:
    • You have severe pain and tenderness in the area around your nose and eyes.
    • You have signs of a skin infectionsuch as a hot, red rash that spreads quickly.
    • You have a fever over 102°F.

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