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InnovAiT 2009 2(1):56-58; doi:10.1093/innovait/inn156
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© The Author 2009. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org

Acute sinusitis in primary care

Professor Frank Dobbs

Professor of Primary Care, University of Ulster

E-mail: f.dobbs{at}ulster.ac.uk


  Abstract

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?


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