Most winter respiratory illnesses are viral (rhinoviruses or adenoviruses). You have nasal congestion (including sinus congestion) with some slightly off-color discharge (whitish or yellowish or greenish) and sense of pressure, sore throat, mild cough, maybe headache, some slight fever (up to 100.5F or so), and mild muscle aches. Starts slowly for several days, blossoms over the next 4-7 days, and subsides over another 3 days, for 7-10 days or a bit longer of illness or minor misery. Show That is a typical virus infection. It involves the mouth, the nasal mucous membranes, the sinuses (we have 8 of them), the major windpipes and your muscles in general. The greenish or yellowish tinge to the nasal mucus just means there are white blood cells in the mucus, which comes with viruses (not just with bacteria). We suggest symptomatic therapy because antibiotics (such as azithromycin or amoxicillin) do not kill viruses. Symptomatic therapy includes nasal saline sprays, decongestants such as oral Sudafed or intranasal Afrin, mild cough medication such as Tussin-DM, and analgesic/antipyretics such as aspirin, Tylenol, or Advil/Aleve. When do we prescribe antibiotics? So when you call me on day three or day five of an illness with the symptoms in the lead paragraph and say you have a sinus infection, we offer you sympathy and the OTC therapies of paragraph 2. But you may warrant antibiotics if (1) your illness is more severe and immediately suggestive of a bacterial infection, if (2) it begins to worsen after a week or so rather than dissipate, or if (3) it just appears to linger on for two weeks or more.
So when any of these three clinical situations unfortunately applies, you will find us quite sympathetic to prescribing you an antibiotic (Zithromax, Augmentin, cefuroxime or others) to deal with a likely bacterial infection. We are not trying to deprive you or be stingy or put you through any hoops. But antibiotics can occasionally have unheralded serious side effects, and certainly unnecessary use of common antibiotics promotes the development of bacterial resistance to them, which harms us all. We just want to prescribe rationally and effectively for your benefit. Dr. Monique Tello is a practicing physician at Massachusetts General Hospital, director of research and academic affairs for the MGH DGM Healthy Lifestyle Program, clinical instructor at Harvard Medical School, and author of the evidence-based lifestyle … See Full Bio Print This Page Click to Print Disclaimer:As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. There are three types of sinusitis. All three are based on length of symptoms:
Share this page: Other questions related to Sinus Infection
Will a Zpack clear up a sinus infection?The Z-Pak is a 5-day course of azithromycin (Zithromax), an antibiotic. It's used to treat certain bacterial infections, including some sinus infections and upper respiratory tract infections that lead to: Headaches. Sore throat.
How long does it take for Zpack to kick in?A Z-Pack typically takes at least five days to fully work, but it can start to relieve your sore throat and other symptoms on the first day you take it. If your doctor prescribes a generic version of azithromycin, your treatment may only last three days.
What is the strongest antibiotic for sinus infection?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.
|