Diagnosis and treatment of sinusitis

Table 5: Results of clinical trials assessing the efficacy of antimicrobial therapy for acute bacterial sinusitis in adults
TrialDrug regimen% of patients with clinical cure or improvement % of patients with proven bacteriologic cure*
CureImprovement
Williams et al [50]TMP­SMX 1 tablet (double strength) bid
× 3 d
× 10 d
31
19
46
57
ND
ND
Mattucci et al [69]Amoxicillin 250 mg tid504595
Minocycline 100 mg bid4060100
Nielsen [70]Amoxicillin­clavulanate 500/125 mg tid969696
Loracarbef 400 mg bid929288
Casiano [71]Amoxicillin 500 mg tid7327100
Azithromycin 500 m g × 1 d, 250 mg × 5 d7426100
Dubois et al [73]Amoxicillin­clavulanate 500/125 mg tid672690
Clarithromycin 500 mg bid643387
Camacho et al [75]Amoxicillin­clavulanate 500/125 mg tid671884
Cefuroxime axetil 250 mg bid631987
Edelstein et al [77]Amoxicillin 500 mg tid4749ND
Cefixime 400 mg × 10 d5143ND
Gehanno et al [78]Cefixime 400 mg × 10 d822.784
Sydnor et al [79]Cefuroxime axetil 250 mg bid95**
Cefaclor 500 mg tid71**
Muller [80]Azithromycin 500 mg × 3 d662792
Clarithromycin 250 mg × 10 d682793
*ND = no data.
**p < 0.05.

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| CMAJ March 15, 1997 (vol 156, no 6) / JAMC le 15 mars 1997 (vol 156, no 6) |
| CPG Infobase / Infobanque des GPC |