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

Co-amoxiclav IV if severe or worsening

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