Keep a “Watch and Wait” Approach for Acute Sinusitis
December 2025
You’ll see more “watchful waiting” for adults with acute bacterial rhinosinusitis (ABRS)...due to updated guidelines.
We know that antibiotics aren’t often needed for acute UNcomplicated sinusitis (cases without spread to the brain, eyes, etc).
Most sinusitis cases are viral...and resolve on their own in a week or so. But suspect a bacterial cause if symptoms persist for at least 10 days without improvement or start to worsen after initially improving.
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