Micro Organisms

Usually viral - If symptoms <10 days no antibiotics usually required unless systemically unwell

In complicated cases antibiotics can be used - Consider ENT review.

Link to NICE Guidance

First Line

Important: Therapy

Penicillin V PO for 5 days

Severe or worsening: Co-amoxiclav PO for 5 days 

Notes:

Anaphylaxis (including severe skin reaction) to penicillin / cephalosporins - (Penicillin allergy)

Important: Therapy

< 12 years - Azithomycin PO for 5 days

> 12 years - Doxycyline PO for 5 days

Notes:

Important: Notes

Only give antibiotics for persistent symptoms or purulent discharge for >10 days

CKS - Sinusitis