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Treatment of Bacterial Sinusitis with Amoxicillin-Clavulanate and Nursing ImplicationsSummer L DixonDr. Stedford
Objectives•Discuss pathophysiology of bacterial sinusitis•Reveal signs and symptoms of bacterial sinusitis•Discuss diagnosis of bacterial sinusitis•Understand Amoxicillin-Clavulanate including effects, side effects, dosage, observation, and teaching
Bacterial Sinusitis•Viral sinusitis is 20 to 200 times more common •Bacterial sinusitis complicates 0.5% to 2% of cases of viral URI (Woo & Robinson, 2016)•Likely diagnosis with any URI lasting longer than 10 days (Chow et al, 2012)
Pathophysiology•Most common bacterial organisms found are:•Streptococcus pneumonia•Haemophilus influenzae•Moraxella catarrhalis•Immunocompromised patients at risk for severe infection•Culture of nasal mucosa is not helpful in determining causative agent•Sinus aspiration or endoscopic aspiration may be needed if patient does not respond to therapy (Woo & Robinson, 2016)
Signs, Symptoms, & Diagnosis•Diagnosis based on clinical symptoms and course of illness•