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Medical Forum / Diseases and Disorders / Sinusitis / October 2006

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How long to continue antibiotics?

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chrisw - 24 Sep 2006 12:43 GMT
Hi,

I'm getting over a sinus infection brought on by my continual
congestion (turbinate hypertrophy). I have finished a 7 day course of
Augmentin Duo and have not noticed any more green phlegm. I do however,
still have the yucky sickly taste from the thick post nasal drip which
is also causing throat irritation/cough. I have had post nasal drip for
the past 9 months ever since my first sinusitus attack but was never
thick and did not have the bad taste.

Should I take another course of antibiotics just to make sure the bugs
are gone? Also, why is it not recommended to stop antibiotics half-way
through a course?

Thanks,
Chris
Steven L. - 24 Sep 2006 15:26 GMT
> Hi,
>
[quoted text clipped - 9 lines]
> are gone? Also, why is it not recommended to stop antibiotics half-way
> through a course?

It's difficult to completely knock out a sinus infection with oral
antibiotics, because the blood supply to the sinuses is relatively poor.
 A 7 day course may not be enough; there may be small numbers of
bacteria that have survived the onslaught of the antibiotic.  And once
the antibiotic stops, they will multiply and start the infection again.
 And these are the bacteria that were most resistant to that
antibiotic, meaning that the infection that starts again will be
antibiotic-resistant.

This is one of the ways that antibiotic-resistant "superbugs" have
emerged into the environment:  They are the survivors of insufficient
courses of antibiotics that killed off the sensitive bugs and left the
hardier bugs to start multiplying all over again.

And on this newsgroup, one of the most common reasons for continuing
sinus problems has been undertreatment:  The doctor doesn't even
diagnose it as an infection, or he prescribes too short a course of
antibiotic, or too low a dose, and the whole thing just keeps recurring.

To reduce the number of treatment failures, 2 weeks' worth of antibiotic
is standard for sinus infections.  For recurrent sinus infections, 3
weeks' worth at least (maybe even 4 weeks' worth), because the bugs may
have become more resistant.

I have heard of sinus patients who were on antibiotics continuously for
a whole year.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

ilaboo - 28 Oct 2006 19:55 GMT
at this pont in your condition tmaging studies are in order--a cat scan is
indicated to evaluate your sinuses--there maybe something causing the
infection ( usually the sinus is not draining for a number of reasons--i
asssume that someone has done an endoscopy in your nose

a simple, procedure no anesthesia other than mabe a spray of local anesthtic
>> Hi,
>>
[quoted text clipped - 35 lines]
> I have heard of sinus patients who were on antibiotics continuously for a
> whole year.
 
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