Is an intranasal corticosteroid (INCS) effective monotherapy for treatment of acute rhinosinusitis?
Explore this issue:July 2010
Background: Acute rhinosinusitis is often treated with antibiotics as if it were a bacterial infection; however, estimates suggest that approximately 98 percent of cases may be of viral etiology. The natural history of acute sinusitis, even in cases of bacterial disease, is spontaneous resolution in the majority of cases. Given this fact, the routine use of antibiotics is sometimes questioned, and further questions have been raised regarding the potential role of interventions that might speed the rate of symptom resolution.
Study design: Case report and systematic review.