Before making a final diagnosis, allergy testing is important since allergic rhinitis presents with the same symptoms of sinusitis. It is essential to look at the overall presentation of the patient’s history as well as the physical findings in order to make the diagnosis of uncomplicated sinusitis. When selecting an antibiotic regimen for sinusitis, it is crucial to consider drugs safety, their costs and the local patterns of bacteria resistance in order to maximize the therapy and avoid drug resistance. Antimicrobial regimens discussed below are for the uncomplicated cases, and the patients have been assumed that they do not have any orbital or intracranial complications with a normal immune system. For the complicated cases, they require broad-spectrum intravenous antibiotics in order to take full control of the pathogens. The paper discusses on the pharmacological effects of antibiotics in the management of sinusitis and the nursing implications. It discusses on all classes of drugs used for sinusitis management i.e. penicillin’s (Augmentin, Amoxil), cephalosporin’s (cefuroxime), fluoroquinolones (e.g. ciprofloxacin) and clindamycin.
Patients all suffering from complicated sinusitis and do not respond to therapy because of drug resistance or other factors should be referred to an otorhinolaryngologist or an infectious disease specialist to guide for continued therapy (Dixon & O’Leary, 2012). The principal pathogens for sinusitis are bacteria agents referred to as respiratory pathogens. Other potential disease-causing organisms include Staphylococcus Aureus, Streptococcus pyogenes and anaerobic bacteria’s such as bacteroids. Anaerobic bacteria’s are likely to be seen in dental diseases resulting from the extension of infections from the roots of the molar teeth to the sinuses. The first-line antibiotics for treatment include ...
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