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The National Institute for Health and Care Excellence (NICE) has issued a guideline to tackle over-prescribing of antibiotics for people with acute sinusitis.1 The guideline aims to limit antibiotic use and reduce antimicrobial resistance. In the UK, research has highlighted a high rate of antibiotic prescribing for people with sinusitis.2 In 2011, a study of 568 general practices reported that the median practice issued antibiotic prescriptions at 91% of consultations for ‘rhino-sinusitis’.
The key message of the guideline is that antibiotics are not useful in the vast majority of patients with sinusitis.1 …
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