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Not usually. Most cases of acute sinusitis are due to infection with a germ called a virus. Like with colds, the immune system usually clears the virus and symptoms generally go within a couple of weeks. Antibiotics do not kill viruses. Also, even if the infection is caused by germs called bacteria, the immune system will usually clear it away. So, for most people with acute sinusitis, antibiotics are not needed. Antibiotics can also cause side-effects. Side-effects can include diarrhoea, a feeling of sickness (nausea), being sick (vomiting), skin rashes and fungal infection (thrush). However, antibiotics are sometimes useful. Your doctor is not likely to prescribe an antibiotic for a mild bout of acute sinusitis. But a course of antibiotics may be prescribed in some cases - for example:

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  • Citation tools Download this article to citation manager Llor Carl , Moragas Ana , Bayona Carolina , Morros Rosa , Pera Helena , Plana-Ripoll Oleguer et al. Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial BMJ 2013; 347 :f5762
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