SNAPPS WRITTEN ASSIGNMENT TEMPLATE

What is the self-directed learning issue that was identified in your oral presentation?

How do you determine when to treat an acute sinusitis infection with antibiotics?

Research the self-directed learning issue and provide a summary of your findings which is fully

supported by appropriate, scholarly, EBM references.

 Sinusitis or rhinosinusitis is defined as inflammation of at least one but can involve all

the paranasal sinuses. Sinusitis can be either acute or chronic. The inflammation can be caused

by viral or bacterial pathogens. This paper will serve to identify how to determine whether the

etiology of infection is viral or bacterial, as well as to distinguish when to initiate antibiotic

therapy versus symptomatic treatment.

Sinusitis is a common complaint in primary care practices and results in more

antibiotic prescriptions than any other outpatient diagnosis (Ebell, McKay, Dale, Guilbault, &

Erimas, 2019). Acute respiratory infections are primarily viral in etiology; however, antibiotics

are often written (Shaver, Jacobs, LaMonte, & Noyes, 2019). Considering the major health

concern of antibiotic resistance, it is imperative that providers of care be good stewards in the

prescribing of antibiotic therapy.

The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)

clinical practice guidelines for adult sinusitis states that diagnosing acute sinusitis or

rhinosinusitis is based on the presenting signs and symptoms. These symptoms include the

presence of facial pain, pressure of one or more of the paranasal sinuses, and purulent drainage

(Rosenfeld et al., 2015). According to Aring and Chan (2016), an excellent indicator for the

presence of an acute bacterial sinusitis infection is the length of illness and the worsening of

symptoms. Viral sinusitis infections are ordinarily self-limiting, respond well to symptomatic

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