Chronic

  • symptoms ≥ 12 weeks

- Repeated courses of antibiotics are not recommended.

- Refer to ENT if not responding. Investigations for allergy +/- polyps, underlying immunodeficiency and/or odontogenic disease may be indicated.

 
Usual Pathogens

Anaerobes

 
Occasionally:

S. aureus
S. pneumoniae
H. influenzae
M. catarrhalis
Group A Streptococci
Enterobacterales

 

Empiric Therapy Dose Duration
Amoxicillin-clavulanate 875mg PO bid 3 weeks

ß-lactam allergy

Empiric Therapy Dose Duration
Clindamycin 300mg PO qid 3 weeks