Which types of patients do you treat with prolonged antibiotics before obtaining a CT sinus?

If the patient has had symptoms of chronic rhinosinusitis for more than 7 days I would give a 10-day course of Levoquin. The symptoms I look for include purulent post-nasal drainage, nasal congestion, and lethargy. If the patient does not respond in 203 days, I would obtain a sinus CT.

If the patient has symptoms suggestive of acute sinusitis (less than 4 - 12 weeks), I will treat with augmentin 875 mg X 2 per day for 10 days with 1 refill for another 10 days.

Refill is to be taken if there is a recurrence of symptoms after 10 days of antibiotic treatment or if symptoms getting be...