07/26/2026
๐๐ฆ๐ฉ๐จ๐ซ๐ญ๐๐ง๐ญ ๐๐ฉ๐๐๐ญ๐ ๐จ๐ง ๐๐ข๐ง๐ฎ๐ฌ ๐๐ง๐๐๐๐ญ๐ข๐จ๐ง ๐๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ โ ๐๐ญ๐ซ๐๐ข๐ ๐ก๐ญ ๐๐ซ๐จ๐ฆ ๐ญ๐ก๐ ๐๐ฑ๐ฉ๐๐ซ๐ญ๐ฌ
At our monthly Journal Club, our group of local doctors (all practicing in Direct Primary Care clinics in the area) recently reviewed a major new clinical practice guideline on adult sinusitis. This comprehensive update was published in July 2025 in OtolaryngologyโHead and Neck Surgery, the official journal of the American Academy of OtolaryngologyโHead and Neck Surgery (AAO-HNSF) โ written by ENT specialists to guide better care.
๐๐ฃ๐ ๐ค๐ ๐ฉ๐๐ ๐๐๐๐๐๐จ๐ฉ ๐๐๐๐ฃ๐๐๐จ? ๐๐โ๐ง๐ ๐๐๐๐ฃ๐ ๐ข๐ช๐๐ ๐ข๐ค๐ง๐ ๐ฉ๐๐ค๐ช๐๐๐ฉ๐๐ช๐ก ๐๐๐ค๐ช๐ฉ ๐๐ฃ๐ฉ๐๐๐๐ค๐ฉ๐๐๐จ ๐๐ค๐ง ๐จ๐๐ฃ๐ช๐จ ๐จ๐ฎ๐ข๐ฅ๐ฉ๐ค๐ข๐จ.
Many โsinus infectionsโ are actually viral (like a bad cold), and they get better on their own. The new guideline strongly recommends watchful waiting for most uncomplicated cases โ often waiting up to 10 days (or reassessing in 3โ5 days once diagnosed) before considering antibiotics. Jumping straight to antibiotics just because someone reports sinus-like symptoms isnโt always the right move anymore.
Instead, the focus is on supportive, anti-inflammatory care that helps you feel better faster and safer.
This approach reduces unnecessary antibiotics, lowers side effects, helps fight antibiotic resistance, and still gets great results for patients.
As DPC doctors who see acute issues like this in same-day appointments all the t
