Question

A 40-year-old with acute bacterial sinusitis requests antibiotics at 5 days of symptoms without severe features. Appropriate approach?

Accepted Answer

Watchful waiting with return precautions; consider antibiotics if symptoms persist ≥10 days or worsen

Answer

Immediate amoxicillin/clavulanate for 14 days

Answer

Azithromycin due to penicillin resistance concerns

Answer

Levofloxacin to shorten illness

Answer

Systemic steroids alone

Practice question

A 40-year-old with acute bacterial sinusitis requests antibiotics at 5 days of symptoms without severe features. Appropriate approach?