This is a diagnostic decision tool.
Acute Bacterial Rhinosinusitis Decision Tool
Risk Factors:
<-- Signs and symptoms persistent and no improving for 10+ days
<-- Severe for 3+ days
<-- Worsening or double-sickening 3+ days
<-- Risk for resistance (age 65 years, antibiotic use within the past month, prior hospitalization longer than 5 days, comorbidities, or immunocompromised status)
resultscore=(Q1)+(Q2)+(Q3)+(Q4);score>10?'Symptomatic management AND Second-line antimicrobial therapy':score>1?'Symptomatic management AND First-line antimicrobial therapy':'Symptomatic management'
First-line antimicrobial therapy: regular dose amoxicillin/clavulanate. Second-line antimicrobial therapy: high dose amoxicillin/clavulanate; levofloxacin; moxifloxacin (adult); clindamycin AND cefpodoxime OR cefixime; or doxycycline (adult)
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