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This table provides recommended antibiotic treatments for adults aged 18 and over, based on guidelines from the National Institute for Health and Care Excellence (NICE). It offers a structured approach to the selection and dosage of antibiotics, taking into account various conditions and specific patient considerations.
| Criteria | Symptoms Around 10 Days or Less | Symptoms Around 10 Days or More, No Improvement | Systemically Very Unwell or High Risk of Complications |
|---|---|---|---|
| Antibiotics | Not Recommended | Optional (Consider no antibiotic or a back-up prescription) | Immediate Prescription |
| Nasal Corticosteroids | - | Consider high-dose for adults & children aged 12+ (Off-label use) | - |
| Patient Education | • Usual course lasts 2-3 weeks • Antibiotics generally unnecessary • Self-care for symptom management • Seek help if symptoms last more than 3 weeks or worsen rapidly | • Use back-up prescription if no improvement in 7 days or worsening symptoms • Seek medical help if symptoms worsen despite antibiotics | - |
| Reassessment | If symptoms worsen, consider alternative diagnoses and more serious conditions | Reassess if symptoms worsen significantly despite treatment; consider alternative diagnoses, previous antibiotic use | - |
| Hospital Referral | - | - | For severe systemic infections or complications such as intraorbital or periorbital issues, and intracranial complications |
Choice of antibiotic
| Condition/Requirement | Antibiotic | Dosage and... |
|---|
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