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sinusitis treatment question ?

9K views 12 replies 9 participants last post by  James 
#1 ·
A 24-year-old man is evaluated for facial pain and fever lasting four days. Symptoms began with an upper respiratory tract infection accompanied by purulent nasal discharge; he then began to have pain over the right cheek and fever to 38.4 C (101.1 F). Physical examination reveals purulent nasal discharge and tenderness over the right maxilla. Computed tomograms confirm right maxillary sinusitis. Which of the following is the most cost-effective antibiotic treatment for this patient?
(A) Amoxicillin-clavulanate
(B) Penicillin
(C) Dicloxacillin
(D) Cefaclor
(E) Trimethoprim-sulfamethoxazole
 
#2 ·
I was gonna say augmentin " A " but then becuz im prety clueless about drug pricing , i did a quick search and found an intresting article that said

"First-line antibiotics such as amoxicillin or trimethoprim-sulfamethoxazole are as effective in the treatment of sinusitis as the more expensive antibiotics. "

and ofcourse i went to the ever awesome wiki

", amoxicillin is a reasonable antibiotic to use first for treatment[4] with amoxicillin/clavulanate (Augmentin) being indicated when the patient's symptoms do not improve on amoxicillin alone"

so i got the answer wrong :toosad:
 
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