Keep a “Watch and Wait” Approach for Acute Sinusitis
December 2025
Updated guidelines suggest “watchful waiting” for even more adult patients with acute bacterial rhinosinusitis (ABRS).
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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