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Is Ceftin A Good Antibiotic For Sinus Infections?

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Posted on Thu, 6 Mar 2014
Question: Is ceftin a good antibiotic for sinus infections? Also painful bony area around the sinus?
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Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. Yes, Ceftin (Cefuroxime Axetil) is a good antibiotic for sinus infections. However, Augmentin (Amoxicillin Clavulanate) 625 mg BD would be a better choice. 2. In Chronic Sinusitis, Cefpodxime Clavulanate 325 mg BD may be an even better choice. 3. Sometimes, the infections are fungal. Get a plain Sinus CT done. With a history of multiple tooth extractions, especially in the upper jaw, it will help rule out any oro-antral fistula which may also lead to chronic sinusitis. 4. It is worthwhile to note that 'biofilm' formation may be one of the causes of frequent sinus infections. 5. Inadequate ventilation of the sinus may now be addressed by 'Radiofrequency ablation' and 'Balloon Sinuplasty'. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumit Bhatti (51 minutes later)
Thank you Doctor, I have taken augmentin in the past...unfortunately, too many times. Its effectiveness has diminished. That's why I am considering an alternative. Your recommendation for a sinus CT scan is something that I will follow up on.
doctor
Answered by Dr. Sumit Bhatti (48 minutes later)
Brief Answer: As below: Detailed Answer: Hi, Thank you for writing back. 1. Get a plain CT PNS (Para Nasal Sinuses) on a multi-slice scanner with at least 1 mm coronal, axial and sagittal cuts. In addition, a post decongestion scan 15 min after liberal use of Xylometazoline drops will help if you also have nasal congestion or obstruction. 2. You may follow up directly with the CT Scan images (not the report) at bit.ly/Dr-Sumit-Bhatti for an accurate assessment. 3. Get a nasal swab sent for culture and sensitivity (bacterial and fungal). I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Is Ceftin A Good Antibiotic For Sinus Infections?

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. Yes, Ceftin (Cefuroxime Axetil) is a good antibiotic for sinus infections. However, Augmentin (Amoxicillin Clavulanate) 625 mg BD would be a better choice. 2. In Chronic Sinusitis, Cefpodxime Clavulanate 325 mg BD may be an even better choice. 3. Sometimes, the infections are fungal. Get a plain Sinus CT done. With a history of multiple tooth extractions, especially in the upper jaw, it will help rule out any oro-antral fistula which may also lead to chronic sinusitis. 4. It is worthwhile to note that 'biofilm' formation may be one of the causes of frequent sinus infections. 5. Inadequate ventilation of the sinus may now be addressed by 'Radiofrequency ablation' and 'Balloon Sinuplasty'. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.