symptoms is best treated with Amoxicillin/clavulanate (Augmentin) is preferred over a sole prescription of amoxicillin based on strong empirical evidence of its effectiveness. (American Academy of Family Physicians, 2013) Beta-lactam agents such as Augmentin are quintessential for the treatment of sinus infections in areas that have invasive penicillin-non-susceptible Strep pneumoniae infections, and is preferred over respiratory quinolones as they are more suitable to treat weak to moderate infections. (American Academy of Family Physicians, 2013) It doesn’t seem that this patient has any precursors for us to need to worry about resistance, so we should initiate first-line antibiotic therapy with Augmentin 500/125mg-875/125mg PO q12 (Epocrates, 2018b). This patient seems to be experiencing more severe symptoms as noted by American Academy of Family Physicians (2013) so I would begin their dosing at 875/125mg PO q12 for 7 days. If symptoms do not improve, the patient will need to come in and be reassessed to determine if a second-line of antibiotics needs to be utilized to broaden coverage or if the antibiotic class needs to be completely switched.If this patient were a child, the treatment would only vary slightly. I would still choose Augmentin because it is empirically more effective than amoxicillin alone. If the child is less than 3 months, they would receive the 125/31.25mg/5ml suspension at 30mg/kg/day PO divided into 2 doses. (Epocrates, 2018a)
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- Fall '16
- Christy McCall