Macrolides are not recommended for empiric therapy due to growing resistance rates for Streptococcus pneumoniae and Haemophilus influenzae within New Brunswick
Antibiotics have not been shown to be beneficial in chronic rhinosinusitis without acute clinical deterioration
Consider ID consultation for refractory nosocomial rhinosinusitis or if immunocompromised
Decongestants (topical or oral) and/or antihistamines are not recommended as adjunctive therapy