Nasal - Antibiotics

  • No real place for topical antibiotics in the nose

  • Oral antibiotics may be used for treating acute sinusitis

  • However, only approximately 2% of cases are bacterial, and 80% of cases will resolve in 14 days without intervention

  • If antibiotics are needed, use for 7 days

  • Low dose macrolides are often used in chronic rhino-sinusitis (as a 3-month trial)