Diagnosis and treatment of sinusitis
| Table 5: Results of clinical trials assessing the efficacy of antimicrobial therapy for acute bacterial sinusitis in adults | ||||
| Trial | Drug regimen | % of patients with clinical cure or improvement | % of patients with proven bacteriologic cure* | |
| Cure | Improvement | |||
| Williams et al [50] | TMPSMX 1 tablet (double strength) bid | 31 19 | 46 57 | ND ND |
| Mattucci et al [69] | Amoxicillin 250 mg tid | 50 | 45 | 95 |
| Minocycline 100 mg bid | 40 | 60 | 100 | |
| Nielsen [70] | Amoxicillinclavulanate 500/125 mg tid | 96 | 96 | 96 |
| Loracarbef 400 mg bid | 92 | 92 | 88 | |
| Casiano [71] | Amoxicillin 500 mg tid | 73 | 27 | 100 |
| Azithromycin 500 m g × 1 d, 250 mg × 5 d | 74 | 26 | 100 | |
| Dubois et al [73] | Amoxicillinclavulanate 500/125 mg tid | 67 | 26 | 90 |
| Clarithromycin 500 mg bid | 64 | 33 | 87 | |
| Camacho et al [75] | Amoxicillinclavulanate 500/125 mg tid | 67 | 18 | 84 |
| Cefuroxime axetil 250 mg bid | 63 | 19 | 87 | |
| Edelstein et al [77] | Amoxicillin 500 mg tid | 47 | 49 | ND |
| Cefixime 400 mg × 10 d | 51 | 43 | ND | |
| Gehanno et al [78] | Cefixime 400 mg × 10 d | 82 | 2.7 | 84 |
| Sydnor et al [79] | Cefuroxime axetil 250 mg bid | — | — | 95** |
| Cefaclor 500 mg tid | — | — | 71** | |
| Muller [80] | Azithromycin 500 mg × 3 d | 66 | 27 | 92 |
| Clarithromycin 250 mg × 10 d | 68 | 27 | 93 | |
| *ND = no data. **p < 0.05. | ||||