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Acute sinusitis in primary care
Professor of Primary Care, University of Ulster
E-mail: f.dobbs{at}ulster.ac.uk
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Abstract |
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Sinusitis is a common diagnosis in primary care, and around the third to fifth commonest reason for prescription of antibiotics. Yet, a recent Cochrane review of effectiveness of antibiotic for acute sinusitis concluded that antibiotics have only a small treatment effect with 80% of patients getting better within 2 weeks without antibiotic as against 90% in those given antibiotic. Why is this, and how can we target appropriate treatment to those who will benefit?