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Risk factors for pneumococcal resistance in adults with acute bacterial rhinosinusitis

Risk factors for pneumococcal resistance in adults with acute bacterial rhinosinusitis
Living in geographic regions with rates of penicillin-nonsusceptible S. pneumonia exceeding 10%*
Age ≥65 years
Hospitalization in the last 5 days
Antibiotic use in the previous month
Immunocompromise
Multiple comorbidities (eg, diabetes or chronic cardiac, hepatic, or renal disease)
Severe infection (eg, evidence of systemic toxicity with temperature of ≥102°F, threat of suppurative complications)
* Local and regional histograms of bacterial resistance should be referenced to understand resistance trends in the local community.
Graphic 105611 Version 5.0

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