[2011 update]

Introduction to this self-study CME activity


Rhinosinusitis is common and accounts for up to 5% of visits to primary care physicians.  However, studies indicate that it is not always accurately diagnosed and  that adequate trials of antibiotic therapy may not occur for bacterial  rhinosinusitis. This self-study activity provides practical guidance to  primary care clinicians concerning key aspects of care for  rhinosinusitis and implementing that care into practice.  Key aspects of care include:

  • Diagnosis, including how to estimate the probability of acute bacterial rhinosinusitis
  • Treatment decisions regarding prescribing antibiotic and ancillary therapies
  • Antibiotic selection
  • Effective radiological imaging
  • Appropriate subspecialist consultation

The 2011 update of the guideline includes

  • Estimate the probability of acute bacterial sinusitis expanded to include symptom duration
  • Updated antibiotic choices grouped into first line, alternative first line, and second line
  • Updated information on options and effectiveness of adjuvant therapies


Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for the diagnosis and treatment of acute rhinosinusitis in adults.


This self-study activity is appropriate for primary care clinicians and other health care providers involved in the diagnosis and treatment of acute bacterial rhinosinusitis in adults.


Team Leaders

  • Eric P. Skye, MD
    Family Medicine

Team Members

  • R. Van Harrison, PhD
    Medical Education
  • Jeffrey E. Terrell, MD
  • Denise H. Zao, MD
    Family Medicine

Author Disclosures

Neither the team lead, the team members, nor the consultants have financial relationships with commercial companies whose products are discussed in this CME activity.
Eric P. Skye, MD
R. Van Harrison, PhD
Jeffrey E. Terrell, MD
Denise H. Zao, MD

Other Acknowledgements

UMHS Guidelines Oversight Team

  • Grant Greenberg, MD, MA, MHSA
  • R. Van Harrison, PhD
  • Connie J. Standiford, MD

Literature Search Services

  • Taubman Medical Library

Production of Internet Format and Website Maintenance

  • Ellen Patrick-Dunlavey, MA

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This enduring material was released in July 2011, with credit available through June 2014. The activity was reviewed for currency of content in June 2014 and availability of credit extended through June 2017. The activity was reviewed for currency of content in September 2017 and availability of credit extended through August 2020. Continuation of credit from that date depends on a thorough review of the content currency and accuracy.

Method of Participation

  1. View the web pages. You may print the self-study text to read off-line.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.