ENT
Acute Rhinosinusitis
NICE criteria for antibiotic use in acute sinusitis and indication for ENT referral in chronic disease
Source: NICE NG79 2017 / EPOS 2020
Step 1 of ~10
info
Acute Rhinosinusitis
Diagnosis: ≥2 of: nasal blockage, anterior or posterior nasal drip, facial pain/pressure, reduction or loss of smell. Acute: <12 weeks. Most are viral (90%). Bacterial sinusitis: persistent symptoms >10 days, worsening after initial improvement (double-sickening), or severe pain/fever.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Doxycycline 100mg Capsules (Sinusitis — Penicillin Allergy) · Tetracycline antibiotic
- Amoxicillin (Otitis Media / Sinusitis) · Beta-lactam antibiotic
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
Pathways
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Peritonsillar Abscess (Quinsy) · ENT-UK / SIGN guidelines
- Hearing Loss — Assessment and Referral · NICE NG98 2018 / BSA guidelines
Decision support only. Always apply local guidelines and clinical judgement.