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Evidence for Antibiotic Duration for Acute Bacterial Rhinosinusitis

Chow, A. W., Benninger, M. S., Brook, I., Brozek, J. L., Goldstein, E. J. C., Hicks, L. A., Pankey, G. A., Seleznick, M., Volturo, G., Wald, E. R., & File, T. M. (2012). Executive Summary: IDSA Clinical Practice Guideline for Acute Bacterial Rhinosinusitis in Children and Adults. Clinical Infectious Diseases, 54(8), 1041–1045. https://doi.org/10.1093/cid/cir1043

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Kaplan, A. (2014). Canadian guidelines for acute bacterial rhinosinusitis: clinical summary. Canadian family physician Medecin de famille canadien, 60(3), 227–234. 

National Institute for Health and Care Excellence. (October 2017). Sinusitis (acute): antimicrobial prescribing. NICE guideline NG79.

Orlandi, R. R., Kingdom, T. T., Smith, T. L., Bleier, B., DeConde, A., Luong, A. U., Poetker, D. M., Soler, Z., Welch, K. C., Wise, S. K., Adappa, N., Alt, J. A., Anselmo-Lima, W. T., Bachert, C., Baroody, F. M., Batra, P. S., Bernal-Sprekelsen, M., Beswick, D., Bhattacharyya, N., Chandra, R. K., … Zhou, B. (2021). International consensus statement on allergy and rhinology: rhinosinusitis 2021. International forum of allergy & rhinology, 11(3), 213–739. https://doi.org/10.1002/alr.22741

Rosenfeld, R. M., Piccirillo, J. F., Chandrasekhar, S. S., Brook, I., Ashok Kumar, K., Kramper, M., Orlandi, R. R., Palmer, J. N., Patel, Z. M., Peters, A., Walsh, S. A., & Corrigan, M. D. (2015). Clinical Practice Guideline (Update): Adult Sinusitis. Otolaryngology–Head and Neck Surgery, 152(2_suppl), S1-S39. 
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Wald, E. R., Applegate, K. E., Bordley, C., Darrow, D. H., Glode, M. P., Marcy, S. M., Nelson, C. E., Rosenfeld, R. M., Shaikh, N., Smith, M. J., Williams, P. V., & Weinberg, S. T. (2013). Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years. PEDIATRICS, 132(1), e262–e280. https://doi.org/10.1542/peds.2013-1071

World Health Organization. (2022). The WHO AWaRe (Access, Watch, Reserve) antibiotic book. World Health Organization. https://www.who.int/publications/i/item/9789240062382



These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.